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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.
Laparoscopic Cervical Cerclage with Myomectomy: A Minimally Invasive Approach to Uterine Preservation
Laparoscopic cervical cerclage with myomectomy is an advanced, minimally invasive surgical procedure that addresses two significant gynecological concerns: cervical insufficiency and uterine fibroids. This dual approach not only improves pregnancy outcomes but also enhances uterine health, offering a fertility-preserving option for women with these conditions.
Understanding Cervical Cerclage and Myomectomy
- Cervical Cerclage: A procedure used to reinforce a weakened cervix, reducing the risk of preterm birth or miscarriage. Laparoscopic placement of the cerclage provides long-term cervical support, particularly for women with a history of second-trimester pregnancy losses.
- Myomectomy: The surgical removal of uterine fibroids (leiomyomas), which can cause pain, heavy bleeding, and fertility issues. Laparoscopic myomectomy allows for precise fibroid removal while preserving the uterus.
Why Combine These Procedures?
Many women diagnosed with cervical insufficiency also have fibroids that may impact fertility and pregnancy. Performing both procedures in a single surgical session offers multiple benefits:
- Improved Pregnancy Success: Strengthening the cervix while removing fibroids reduces complications during pregnancy.
- Reduced Surgical Risks: Combining surgeries minimizes anesthesia exposure and shortens overall recovery time.
- Minimally Invasive Advantage: Laparoscopic techniques result in smaller incisions, less pain, faster recovery, and minimal scarring.
Procedure Overview
- Laparoscopic Access: Small incisions are made in the abdomen to insert a camera and surgical instruments.
- Myomectomy: Fibroids are identified and carefully excised while preserving uterine integrity.
- Cervical Cerclage Placement: A non-absorbable suture or tape is placed around the cervix to provide reinforcement.
- Closure and Recovery: The incisions are sutured, and the patient is monitored for a short hospital stay before being discharged.
Recovery and Outcomes
Patients typically recover within 2–4 weeks, with restrictions on strenuous activities to ensure proper healing. Studies have shown that laparoscopic cervical cerclage with myomectomy significantly improves pregnancy rates and reduces complications associated with fibroids and cervical insufficiency.
Who Can Benefit from This Procedure?
This approach is ideal for women who:
- Have a history of recurrent miscarriages due to cervical insufficiency.
- Have fibroids that impact fertility or pregnancy.
- Prefer a minimally invasive alternative to open surgery.
Conclusion
Laparoscopic cervical cerclage with myomectomy is a revolutionary option for women facing cervical incompetence and fibroid-related fertility challenges. By combining these two procedures, patients can achieve better reproductive health and improve their chances of a successful pregnancy—all with minimal surgical trauma and faster recovery. If you are considering this procedure, consult a specialized gynecologic surgeon to explore your options.
Contact us:
World Laparoscopy Hospital
Cyber City, Gurugram, NCR Delhi, INDIA
Phone/WhatsApp: +919811416838, +919999677788
World Laparoscopy Training Institute
Bld. No: 27, DHCC, Dubai, UAE
Phone: +971525857874
World Laparoscopy Training Institute
8320 Inv Dr, Tallahassee, Florida, USA
Phone: +1 321 250 765
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