Clinical Application of Simplified Laparoscopic Cervical Cerclage
ZHAO Yu-ting
HUANG Xiao-wu
XIA En-lan
MA Ning
GUO Yan
Abstract：Objective:To investigate the efficacy of simplified laparoscopic cervical cerclage (SLCC) in the prevention of miscarriage and preterm delivery in women with cervical incompetence, who failed to have a baby by vaginal cervical cerclage in previous pregnancy. Methods:Evaluate the clinical data of 153 patients who underwent SLCC for cervical incompetence in Fuxing Hospital from December 2010 to August 2015. The mean number of second trimester pregnancy loss was (2.7±1.2). The mean gestational age of previous second trimester miscarriage was (20.0±3.5) weeks. Results:Among the 153 cases of SLCC, all the patients received a successful operation and no serious complications occurred, the mean surgical time was (33.0±1.3) min, the mean volume of blood loss was (9.7±8.3) mL. 117 women conceived after the surgery, 8 of them conceived twice. There were 125 pregnancies, including 20 early miscarriages and twice ectopic pregnancies and one case of molar pregnancy. There were 19 ongoing pregnancies, and 83 confirmed the final outcome, the live birth rate was 96.4%(80/83). The mean gestational age at delivery was (37.2±2.2) weeks. Conclusions:The SLCC is a simple, safe, and effective treatment for cervical incompetence who had a failed vaginal cervical cerclage.
Keywords：Uterine cervical incompetenceCerclagecervicalLaparoscopesAbortionPremature birthSimplified laparoscopic cervical cerclage
Publication Date：2016-01-01
Pages：4( 634-637 )