Robotic-assisted Abdominal Cerclage Placement During Pregnancy and Its Challenges

Journal of Minimally Invasive Gynecology
Gulden MenderesMasoud Azodi

Abstract

To demonstrate a surgical video of 2 cases, in which the steps of robotic-assisted abdominal cerclage placement were delineated in one and a uterine vessel injury was repaired in the other. Step-by-step explanation of the technique using a surgical video (Canadian Task Force classification III). The procedures were performed at a teaching hospital. The first patient was a 25-year-old gravida 4 para 0, with a history of cervical incompetence, who was 13 weeks pregnant at the time of surgery. She had failed McDonald cerclage and was referred for abdominal cerclage placement. The second patient was a 32-year-old gravida 6 para 0 who was 15 weeks pregnant. She had a history of 3 second-trimester miscarriages with painless cervical dilation and had failed McDonald cerclage during her previous pregnancy. Both patients were taken to the operating room for robotic-assisted abdominal cerclage placement early in the second trimester. Robotic-assisted abdominal cerclage placement was performed with ultrasound guidance. The procedure was begun with formation of the bladder flap [1]. An avascular space between the ascending and descending branches of uterine artery, at the level of the cervicoisthmic junction, was subsequently developed. Th...Continue Reading

References

Nov 10, 2007·Fertility and Sterility·Larry BarmatFrank Craparo
Oct 10, 2008·American Journal of Perinatology·Lynlee WolfeChristy Pearce
Mar 20, 2013·Journal of Minimally Invasive Gynecology·Teresa M WalshGokhan S Kilic

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Citations

Jul 10, 2018·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Alex AdesPhoebe Hong

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