Laparoscopic cerclage for isthmico-cervical insufficiency caused by previous surgery on the cervix


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To evaluate the expediency and efficiency of laparoscopic cerclage in women with isthmico-cervical insuff iciency (ICI) caused by previous surgery on the cervix Subject and methods. Laparoscopic cerclage was performed in 44 patients, including in 23 and 21 patients during (Group 1) and before (Group 2) pregnancy, respectively. Results. This surgery could yield positive results in 20 of the 23 pregnant women. Pregnancy occurred in 10 of the 21 women in Group 2. In 8 of them, laparoscopic cerclage proved to be effective. Conclusion. Experience with transabdominal laparoscopic cerclage showed its high efficiency in patients with ICN caused by previous surgery on the cervix.

Full Text

Restricted Access

About the authors

Mark Arkadevich Kurtser

N.I. Pirogov Russian National Research Medical University

Email: m.kurtser@mcclinics.ru
Academician of the Russian Academy of Sciences, MD, Professor of the Department of Obstetrics and Gynecology

Oleg Vladimirovich Aziev

Center for Family Planning and Reproduction, Moscow Healthcare Department

Email: oaziev@yandex.ru
MD, head of the endoscopic department

Alexander Viktorovich Panin

Lapino Clinical Hospital

Email: alexandrpanin@mail.ru
Candidate of Medical Science, Deputy Chief Physician for Surgery

Natalia Mikhailovna Egikyan

Lapino Clinical Hospital

Email: mika2004@list.ru
Candidate of Medical Science, Head of the gynecological department

Elena Borisovna Boldina

Center for Family Planning and Reproduction, Moscow Healthcare Department

Email: boldina_elena@mail.ru
MD, doctor obstetrician-gynecologist

Anna Andreevna Grabovskaya

Center for Family Planning and Reproduction, Moscow Healthcare Department

Email: anna.e@list.ru
obstetrician-gynecologist

References

  1. Аксель Е.М. Статистика злокачественных новообразований женской половой сферы. Онкогинекология. 2012; 1: 18-23. [Aksel E.M. Statistics of malignant neoplasms of the female sexual sphere. Onkoginekologiya. 2012; 1: 18-23. (in Russian)]
  2. Савельева Г.М., Шалина Р.И., Сичинава Л.Г., Панина О.Б., Курцер М.А. Акушерство. Учебник. М.: ГЭОТАР; 2009. 651с. [Saveleva G.M., Shalina R.I., Sichinava L.G., Panina O.B., Kurtser M.A. Obstetrics. Textbook. Moscow: GEOTAR; 2009. 651p. (in Russian)]
  3. Савельева Г.М., Шалина Р.И., Панина О.Б., Астраханцева М.М., Спиридонов Д.С. Проблема преждевременных родов в современном акушерстве. Российский медицинский журнал. 2014; 5: 4-8. [Saveleva G.M., Shalina R.I., Panina O.B., Astrahantseva M.M., Spiridonov D.S. The problem of premature birth in modern obstetrics. Russian Medical Journal. 2014; 5: 4-8. (in Russian)]
  4. Burger N.B., Brolmann H.A.M., Einarsson J.I., Langebrekke A., Huirne J.A.F. Effectiveness of abdominal cerclage placed via laparotomy or laparoscopy: systematic review. J. Minim. Invasive Gynecol. 2011; 18(6): 696-704.
  5. Chen Y., Liu H., Gu J., Yao S. Therapeutic effect and safety of laparoscopic cervical cerclage for treatment of cervical insufficiency in first trimester or nonpregnant phase. Int. J. Clin. Exp. Med. 2015; 8(5): 7710-8.
  6. Bolla D., Raio L., Imboden S, Mueller M.D. Laparoscopic cerclage as a treatment option for cervical insufficiency. Geburtshilfe Frauenheilkd. 2015; 75(8): 833-8.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2017 Bionika Media