Laparoscopic cervicoisthmic cerclage: technique and systematic review of the literature.

Abstract

BACKGROUND AND AIMS To report on and review the outcome after laparoscopic cervicoisthmic cerclage (LCC) and robotic-assisted laparoscopic cervicoisthmic cerclage. METHODS We reported on 4 cases of LCC and conducted a systematic review of the literature up to May 2012 to identify obstetric outcomes after LCC and robotic-assisted LCC. RESULTS The median age of our series was 35 years (range: 31-41) with median previous pregnancies 3.5 (2-5). All 4 women had successful obstetric outcomes with a median gestational age at delivery of 37 weeks (range: 36-38). The systematic review identified 25 studies (162 women underwent LCC and 3 had robotic-assisted LCC). In the interval LLC studies, the median age was 33 years (range: 22-42); with a median gestational age at delivery of 37 weeks (range: 34-38). For prophylactic LCC, the median age was 31 years (range: 27-41); with a gestational age at delivery of 37 weeks (range: 19-39). Two of the three robotic-assisted LCC procedures were done prophylactically. The median age was 27 years (range: 23-37) with a median gestational age at delivery of 37 weeks (range: 35-38). CONCLUSION LCC is feasible during and in between pregnancies as well as in congenitally malformed uteri. Current evidence suggests that LCC might be of benefit in selected cases of cervical insufficiency with short cervices.

DOI: 10.1159/000343036

Cite this paper

@article{ElNashar2013LaparoscopicCC, title={Laparoscopic cervicoisthmic cerclage: technique and systematic review of the literature.}, author={Sherif A. El-Nashar and Maria Fidela Paraiso and Katherine J Rodewald and Tristi Muir and Faten F Abdelhafez and Noam Lazebnik and Mohamed Ali Bedaiwy}, journal={Gynecologic and obstetric investigation}, year={2013}, volume={75 1}, pages={1-8} }