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Case Report Open Access
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.
Laparoscopic cervical cerclage Cervical incompetence, Vaginal technique, Laparotomy technique, Transabdominal cervical cerclage, Reproductive Medicine