Laparoscopic Cervical Cerclage
Cervical encerclage surgery in Bangalore
Laparoscopic cervical encerclage is a surgical procedure used to treat cervical incompetence, which is a condition in which the cervix ( neck of the womb ) opens up during pregnancy, often resulting in miscarriage or premature birth. Are you looking for the Cervical encerclage surgery in Bangalore? Dr Sunil Eshwar is the best doctor for this. Visit him today.
Lap abdominal encercalge involves the surgeon making 3 to 4 small incisions in the abdomen and then a video laparoscope, is used to guide the placement of a permanent stitch around the cervix. This stitch helps to hold the cervix closed during pregnancy, reducing the risk of miscarriage or premature delivery.
Indications
- Women with repeated 2nd trimester miscarriages with no known cause.
- Women with history of uterine abonormility
- Women with a history of previous cervical surgery or trauma that may have weakened the cervix.
- Women with an abnormal cervix, such as a cone biopsy or a trachelectomy.
- Women with a short cervix, which is a risk factor for premature birth.
Procedure
It is performed under general anesthesia. The procedure involves the following steps:
- Co2 is used to inflate the abdomen to ease the introduction of instruments into abdomen and avoiding injury to neighbouring organs.
- A small incision in the belly button and a laparoscope, which is a thin, lighted tube with a camera attached to the end is put through which allows the surgeon to visualize the cervix and surrounding structures. 2 other small cuts are needed to facilitate instruments and to perform the surgery.
- A synthetic tape is passed through the tunnel and around the cervix, just below the bladder . The suture is tightened to hold the cervix closed during pregnancy.
- The instruments are then removed and the cuts are closed with sutures or surgical glue.
- The patient is then monitored in the recovery room and may be discharged the same day or kept overnight for observation.
It should be performed by a qualified well experienced laparoscopic surgeon who has received higher level specialized training in this procedure. The surgeon should have expertise and knowledge in both laparoscopic surgery and cervical encerclage. The surgeon should have a good understanding of the anatomy and physiology of the female reproductive system.
Discussion should include the surgeon's experience and qualifications, potential risks and benefits of the procedure and also about the success rates.
The patient and couple should choose a surgeon with good expertise and who has a track record of successful outcomes with laparoscopic abdominal cervical cerclage .
The woman should receive personalized care throughout the treatment process. Patients should consider factors such as the surgeon's training, experience, and patient reviews of the team.
Smaller incisions
Quicker recovery time
Less tissue damage
Less pain
Shorter hospital stay
Better visualization
Fewer complications
It is a technically challenging procedure that requires specialized training and experience.
May not be available at all hospitals or clinics.
Anesthesia risks
Bleeding and infection and scarring of tissue
Failure to prevent preterm birth or miscarriage
Delivery is by cesarean section