Laparoscopic cervicoisthmic cerclage: Technique and systematic review of the literature

Sherif A. El-Nashar, Maria Fidela Paraiso, Katherine Rodewald, Tristi Muir, Faten Abdelhafez, Noam Lazebnik, Mohamed A. Bedaiwy

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalGynecologic and Obstetric Investigation
Volume75
Issue number1
DOIs
StatePublished - Jan 2013
Externally publishedYes

Keywords

  • Cervical insufficiency
  • Cervicoisthmic cerclage
  • Laparoscopy
  • Robotic-assisted laparoscopy
  • Systematic review

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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