Laparoscopic Cervical Cerclage during Pregnancy by Using an Elevate-cup at First Trimester：20 Cases Analysis
MA Ning
XIA En-lan
HUANG Xiao-wu
LI Tin-Chiu
Abstract：Objective: Report a simplified procedure by using an elevate-cup in Laparoscopy for Transabdominal Cervical Cerclage (LTCC) during pregnancy and follow-up the obstetrical outcomes. Methods:Retrospective study was carried out in Fuxing Hosptial, Captial Medical University, hysteroscopic center. From July 2013 to January 2016, 20 cases pregnancy women with cervical incompetence underwent LTCC by using an elevate-cup at first trimester. We described the surgical techniques along with the obstetrical outcomes including the success and complication rate. Results: Among the 20 cases of LTCC, the surgical time was (59.2±21.7) min (24-110 min) and blood loss was 10 (10,15) mL (5-100 mL). 1 case was converted to laparotomy because of poor operation field. Postopertative morbidity rate was 0%. There were 2 cases of miscarriage after the operation. 18 women had delivered 19 live babies by cesarean section in the third trimester,live birth rate was 90%(18/20). 1 of them conceived twins. The mean gestational age at delivery was (37.5±1.3) weeks. Neonatal weight was (3 348.8± 407.4) g. Conclusions:The present study reports a series of cervical incompetence cases treated by LTCC using an elevate-cup simplified surgical procedure which is easy-operating, minimal invasive and highly effective. The obstetrical outcomes are acceptable.
Keywords：LaparoscopesCerclagecervicalUterine cervical incompetencePregnancy outcome
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 638-642 )