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What is Laparoscopic Cervical Cerclage

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doctor alphy
What is Laparoscopic Cervical Cerclage

Cervical incompetence or cervical insufficiency is one of the causes of preterm birth, leading to increased perinatal morbidity and mortality. Late miscarriages and extreme premature birth are very traumatic for a couple physically and psychologically and It may lead to them delaying or even deciding against a future pregnancy.

Cervical cerclage placement is the treatment for this condition. Although most cerclages are placed transvaginally via the Shirodkar or McDonald technique, abdominal cerclage is necessary in women with a previous failed transvaginal cerclage or in those with minimal cervical tissue accessible vaginally .Approximately 13% ofpregnancies in women with cervical incompetence treated with vaginal cerclage will not be successful and will deliver previable infants despite this interventions .
Advances in the field of minimally invasive surgery resulted in development of a new approach to cervical cerclage placement. Laparoscopic Cervical cerclage offers the benefit of placing the cerclage at a higher level which reduces the chances of pretem delivery with added benefits of reduced blood loss, reduced postoperative pain, and fewer adhesions, as well as decreased length of hospital stay and overall faster recovery time.
A Laparoscopic Cervical cerclage is performed to place a surgical seal around the uppermost part of your cervix near the transition with the uterine body. This surgery was typically done through traditional open surgery; however, new technological breakthroughs have allowed us to safely perform this through less invasive laparoscopic surgery. Laparoscopic surgery is performed with a tiny lighted tube, which is inserted through small incisions to get a better visualization of your abdominal and pelvic areas.

This procedure is performed in cases of cervical insufficiency in order to prevent pregnancy loss due to the cervix being too weak and opening too early. It is preferably performed before pregnancy for women who have experienced cervical complications in prior pregnancies. In addition, women who have suffered pregnancy loss, despite placement of a transvaginal cerclage, which is a procedure that uses stitches to reinforce the cervix, are also recommended for this procedure. An open procedure could be performed on a patient who is already pregnant.
Because this procedure is less invasive, you can expect less postoperative pain and recovery time than you would with an open abdominal surgery. Dr. Alphy S. Puthiyidom is Best hysteroscopic surgeon in dubai with mastery in Advanced Laparoscopic Surgery, Pelvic Reconstructive Surgery and Urogynecology Surgery. Dr. Alphy has the experience of over multi decade in Gynecology and Minimally Invasive pelvic medical procedures. Subsequent to acquiring her MD in Obstetrics and Gynecology, she has done her Fellowship in Minimally Invasive Surgery from the Sunrise Institute of Medical Sciences, Kochi, India and Training in Endometriosis and progressed Laparoscopy from IRCAD, Strasbourg, France.

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