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This video demonstrates Laparoscopic Cervical Cerclage With Myomectomy performed by Dr. R.K. Mishra at World Laparoscopy Hospital. Laparoscopic cerclage offers the benefit of reduced blood loss, reduced postoperative pain, and fewer adhesions, as well as decreased length of hospital stay and overall faster recovery time. Similar to the transabdominal approach, laparoscopic cerclage can be placed during pregnancy or as an interval procedure.

A laparoscopic approach to cervical cerclage placement is a potentially effective adjunct to the treatment of women at high risk of recurrent preterm birth. Laparoscopic and transabdominal approaches both yield similar obstetric outcomes, and laparoscopic cerclage may be a superior method in terms of surgical outcomes, as suggested by several studies. A prospective, randomized trial is needed in order to clearly establish the specific benefits to both surgical and obstetrical outcomes.