Laparoscopic cervical cerclage is a surgical procedure performed to provide additional support to the cervix during pregnancy in cases where the cervix is weak or incompetent, increasing the risk of preterm labor or pregnancy loss.
What is this procedure about?
It is a minimally invasive surgical procedure to place a stitch (suture) around the cervix to strengthen and keep it closed.It is often recommended for women with a history of cervical insufficiency or previous pregnancy losses in the second trimester.
Why this procedure is performed?·
To prevent premature opening of the cervix during pregnancy.·
Common indications include:Cervical insufficiency diagnosed in previous pregnancies.Ultrasound evidence of a short cervix (<25 mm) with or without funneling.History of multiple pregnancy losses or second-trimester miscarriages.
What are the benefits of Laparoscopic cervical cerclage ?·
Can be placed higher up on the cervix than traditional transvaginal cerclage, offering better support.·
Performed under general anaesthesia through small incisions, leading to faster recovery.·
Lower risk of infection compared to transvaginal methods.
How it is performed ?
1. Anesthesia: You will receive general anaesthesia and you would not feel anything during whole duration of surgery .
2. Procedure: Small incisions are made in your abdomen.o A camera (laparoscope) and instruments are inserted to access the cervix.o A permanent suture is placed around the cervix to support it.
3. Duration:The procedure usually takes 60–90 minutes.
Risks and Complications
While laparoscopic cerclage is generally safe, sometimes it may cause bleeding during or after the procedure, Premature rupture of membranes, Injury to nearby organs and Preterm labor (in rare cases).But if performed by an expertise surgeon complications are usually rare.
Laparoscopic cerclage has high success rates in preventing pregnancy loss and preterm birth in properly selected cases.