Laparoscopic Cervical Encerclage
Cervical incompetence is characterized by painless dilatation of the incompetent cervix and results in miscarriages and preterm delivery during second trimester. Cervical incompetence occurs in 0.5% to 1% of all pregnancies and has a recurrence risk of 30%. Patients typically present with cervical dilatation in the absence of uterine activity after first trimester usually. Cervical cerclage can be placed via trans vaginal, open -trans abdominal, or laparoscopic trans abdominal approach, preferably before pregnancy. A laparoscopic approach is superior to the trans abdominal approach in terms of surgical outcomes, cost, and postoperative morbidity. A laparoscopic approach to cervical cerclage placement is a potentially effective adjunct to the treatment of women at high risk of recurrent preterm birth. Laparoscopic and trans abdominal approaches both yield similar obstetric outcomes, and laparoscopic cerclage may be a superior method in terms of surgical outcomes, as sugg...