Laparoscopic Placement and Removal of Abdominal Cerclage: A Case Report
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چکیده
Abdominal cerclage may be recommended in women with a shortened or absent cervix or after failure of a previous vaginal cerclage. If the abdominal cerclage has to be removed prior to delivery of a non-viable fetus, hysterotomy is not necessary. In that case a laparoscopic removal should be considered. We will discuss laparoscopic placement and removal of an abdominal cerclage placed in a 27-year old woman, gravida 10, para 2, abortus 7, who presented at 16 weeks and 6 days gestational age with abdominal cramps and protruding membranes.
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Laparoscopic Removal of Abdominal Cerclage
Abdominal cerclage is necessary when the more commonly used transvaginal cerclage fails or anatomical abnormalities of the cervix preclude transvaginal placement. The disadvantage of an abdominal approach is that the patient can expect 2 laparotomies during her pregnancy, one for cerclage placement and the other associated with cesarean delivery. We report on an abdominal cerclage removed lapar...
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