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 article

    8 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 1 2013

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    Keywords

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

    ASJC Scopus subject areas

    • Reproductive Medicine
    • Obstetrics and Gynecology

    Cite this

    El-Nashar, S. A., Paraiso, M. F., Rodewald, K., Muir, T., Abdelhafez, F., Lazebnik, N., & Bedaiwy, M. A. (2013). Laparoscopic cervicoisthmic cerclage: Technique and systematic review of the literature. Gynecologic and Obstetric Investigation, 75(1), 1-8. https://doi.org/10.1159/000343036