Cervical incompetence is characterized by painless dilatation of the incompetent cervix and results in miscarriages and preterm delivery during second trimester.
Cervical incompetence occurs in 0.5% to 1% of all pregnancies and has a recurrence risk of 30%. Patients typically present with cervical dilatation in the absence of uterine activity after first trimester usually.
Cervical cerclage can be placed via transvaginal, open -transabdominal, or laparoscopic transabdominal approach, preferably before pregnancy.
A laparoscopic approach is superior to the transabdominal approach in terms of surgical outcomes, cost, and postoperative morbidity.
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.
Laparoscopic surgical techniques have now increasingly replaced traditional abdominal approaches to gynecologic surgery.
laparoscopic cervical cerclage is a minimally invasive, extremely safe , cosmetically better
pain and bleeding is lesser, intraabdominal adhesions are less, patient feels better postoperatively
effective procedure in properly selected patients and should replace the traditional laparotomy technique.