Preconception Laparoscopic Cervical Cerclage: The Preferred Technique for Cervical Incompetence?
|Kedar R Jape1, Philip K Rowlands1 and John L Yovich1-3*|
|1PIVET Medical Centre, Leederville, Perth WA 6007, Australia|
|2Cairns Fertility Centre, Cairns QLD 4870, Australia|
|3School of Biomedical Sciences, Faculty of Health Sciences, Curtin University, Bentley, Perth WA 6102, Australia|
|*Corresponding Author :||John L Yovich
Medical Director and Consultant in Gynaecology
Andrology and Reproductive Medicine
PIVET Medical Centre 6007 and Cairns Fertility Centre 4870 and Clinical Professor
School of Biomedical Sciences, Faculty of Health Sciences, Curtin University
Perth Western Australia 6845
Tel: (08) 9422 5400
Fax: (08) 9382 4576
E-mail: [email protected]
|Received: November 30, 2015 Accepted: December 13, 2015 Published: January 02, 2016|
|Citation: Jape KR, Rowlands PK, Yovich JL (2016) Preconception Laparoscopic Cervical Cerclage: The Preferred Technique for Cervical Incompetence? JFIV Reprod Med Genet 4:164. doi:10.4172/2375-4508.1000164|
|Copyright: © 2016 Jape KR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Objective: To explore the ease and effectiveness of placing a cervical suture preconception using a laparoscopic technique.
Design: A case study with systematic literature review.
Setting: PIVET Medical Centre, a private facility providing comprehensive services over 35 years in gynaecology, andrology and reproductive endocrinology for infertility and recurrent pregnancy loss.
Patients: Case report of a 35 year old woman with recurrent mid-trimester pregnancy losses and well-define cervical incompetence.
Intervention: Preconception placement of cervical suture by laparoscopic trans-abdominal cerclage (LTAC) as a day case.
Main outcome measure: Details of ensuing pregnancy.
Results: Conception without delay and normal pregnancy with delivery by elective caesarean section near term of healthy 2645 g female infant.
Conclusion: We are impressed with the ease of the LTAC technique which appears likely to have fewer complications than traditional vaginal techniques, as well as speedier recovery compared to a laparotomy approach.