Journal article

Transabdominal Cervical Cerclage: Laparoscopy Versus Laparotomy

Alex Ades, Kim C Dobromilsky, King T Cheung, Mark P Umstad

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY | ELSEVIER SCIENCE INC | Published : 2015

Abstract

STUDY OBJECTIVE: To evaluate the obstetric outcome, surgical morbidity, and pre-abdominal cerclage characteristics of women undergoing transabdominal cerclage (TAC) via laparotomy or laparoscopy. DESIGN: Prospective cohort study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS AND INTERVENTION: Between 2007 and 2014, 51 patients underwent laparoscopic abdominal cervical cerclage to treat cervical incompetence. These women were compared with a historical cohort of 18 patients who underwent the same procedure via laparotomy between 1995 and 2011. All of the women had a diagnosis of cervical incompetence based on previous obstetric history and/or a short or abse..

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