Perioperative Care of Laparoscopic Cervical Cerclage
GAO Xiao-wei
YANG Wen-hui
Abstract：Objective: To discuss the perioperative care of laparoscopic cervical cerclage for earlier pregnancy and preconception women. Methods:From July 2013 to December 2015 there were 331 cases who suffered from cervical incompetence and infertility admitted in Hysteroscopic Center of Fuxing Hospital. Among them 20 cases were ongoing early pregnancy. Laparoscopic cervical cerclage was performed. Perioperative care of laparoscopic cervical cerclage for pregnant and preconception women include psychological counseling, perfect preoperative preparation and transition between ward and operating theatre, postoperative close observation of patient′s conditions, medication care and active guidance, education of health and notes while discharge. Results:There were 311 cases preconception laparoscopic cervical cerclage, 216 cases with pregnancy successful after operation,cesarean sections were performed for 187 cases during 29-39 gestation weeks,191 live babies (4 twins). Among them 35 cases with premature delivery, 21 cases with ongoing pregnancy, 8 cases with midtrimester abortion. Laparoscopic cervical cerclage was performed during pregnancy in 20 cases. Among them 18 cases with successful delivery, one twins and two other cases with unfortunate abortion. Conclusions:Laparoscopic cervical cerclage can prevent miscarriage or premature birth caused by cervical incompetence effectively. Enhanced the perioperative care is helpful to achieve good surgical outcomes.
Keywords：Uterine cervical incompetenceLaparoscopyCerclagecervicalIntraoperative periodNursing services
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：3( 647-649 )