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Title: Laparoscopic transabdominal cerclage in pregnancy: A single centre experience.
Authors: Aref-Adib, Mehrnoosh
Parghi, S.
Hong, P.
Other Authors: Ades, Alex
Keywords: Pregnancy
Transabdominal cerclage
Laparoscopic surgery
Cervical insufficiency
Neonatal survival
Surgical morbidity
Issue Date: Jun-2019
Publisher: Blackwell Publishing
Citation: Aust N Z J Obstet Gynaecol. 2019 Jun;59(3):351-355.
Abstract: BACKGROUND: Transabdominal cerclage can reduce the risk of preterm birth in women with cervical insufficiency. AIMS: This study evaluated outcomes following insertion of a laparoscopic transabdominal cerclage in pregnant women. MATERIALS AND METHODS: A retrospective observational study. PATIENTS: pregnant women who underwent laparoscopic transabdominal cerclage from 2011 to 2017. Eligible women had cervical insufficiency and were not suitable for a transvaginal cerclage. INTERVENTION: the insertion of a laparoscopic transabdominal cerclage in the pregnancy. MEASUREMENTS: neonatal survival, delivery of an infant at ≥34 weeks gestation and surgical morbidity were evaluated. RESULTS: Of 19 women who underwent laparoscopic transabdominal cerclage in pregnancy, at 6-11 weeks gestation, the perinatal survival rate was 100%. There were no complications. The average gestational age at delivery was 37.1 weeks. Sixteen women delivered after 34 weeks. CONCLUSIONS: Laparoscopic transabdominal cerclage is a safe and effective procedure in women with poor obstetric histories. It requires the correct skill, expertise and patient selection.
DOI: 10.1111/ajo.12848
PubMed URL:
ISSN: 0004-8666
Journal Title: Australian and New Zealand Journal of Obstetrics and Gynaecology
Type: Journal Article
Affiliated Organisations: Department of Obstetrics and Gynaecology, Royal Women's Hospital, University of Melbourne, Melbourne, Victoria, Australia.
Agora Centre for Women's Health, Epworth Hospital, Melbourne, Victoria, Australia.
Appears in Collections:Obstetrics & Gynaecology

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