Laparoscopic cervical Cerclage Surgery for Cervical Insufficiency
This video demonstrates laparoscopic cervical cerclage surgery performed by Dr. R.K. Mishra at World Laparoscopy Hospital. The traditional open surgical treatment for cervical insufficiency is the vaginal placement of a cervical cerclage or abdominal cerclage by putting mesh through laparoscopy. However, in a small number of cases, a vaginal approach is not possible. A transabdominal approach can become an option for these patients. Laparoscopic cervical cerclage is associated with good pregnancy outcomes but comes at the cost of a higher risk of serious surgical complications. The aim of the video is to demonstrate intraoperative steps of laparoscopic cervical cerclage. This technique could be particularly useful if performed during nonpregnancy or during early pregnancy where the increased maneuverability and flexibility of the device permits better surgical access. If you are performing cervical cerclage in pregnant women then instead of a uterine manipulator fan retractor should be used. Cervical cerclage by laparoscopy is considered the gold standard for the patient in whom previous vaginal cerclage is failed.
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2 COMMENTS
Dr. Parag Saha
#1
Oct 27th, 2023 10:32 am
Dr. R.K. Mishra showcases a laparoscopic cervical cerclage surgery at World Laparoscopy Hospital. This technique offers an alternative to traditional open methods when a vaginal approach is not possible, improving maneuverability and flexibility. It's a valuable option when previous vaginal cerclage has failed, with potential for good pregnancy outcomes, despite a slightly higher risk of surgical complications.
Dr. Jaeseong Jang
#2
Nov 10th, 2023 11:03 am
This video on Laparoscopic Cervical Cerclage Surgery for Cervical Insufficiency is a beacon of hope for those facing this challenging condition. It brilliantly demystifies the surgical approach, offering clarity and reassurance. The comprehensive insights empower readers with knowledge, fostering a sense of confidence in the procedure's efficacy. A must-read for anyone seeking a nuanced understanding of cervical insufficiency management through laparoscopic cerclage surgery. Highly informative and reassuring.
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