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Related Experiment Video

Updated: Jun 24, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

[Laparoscopic cervico-isthmic cerclage evaluation].

G Nicolet1, M Cohen, L Begue

  • 1Service de gynécologie-obstétrique, faculté de médecine, université Montpellier-I, CHU Arnaud-de-Villeneuve, 371, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France. g.nicolet@yahoo.fr

Gynecologie, Obstetrique & Fertilite
|April 14, 2009
PubMed
Summary
This summary is machine-generated.

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Laparoscopic cervico-isthmic cerclage is a safe and effective alternative for preventing pregnancy loss in women with cervical incompetence. This minimally invasive technique demonstrates successful outcomes, similar to traditional methods, with high rates of term delivery.

Area of Science:

  • Reproductive Medicine
  • Minimally Invasive Surgery
  • Maternal-Fetal Medicine

Context:

  • Cervical incompetence poses a significant risk for pregnancy loss.
  • Transabdominal cervico-isthmic cerclage is an option for vaginal cerclage failure.
  • Laparoscopic approach offers a minimally invasive alternative.

Purpose:

  • To evaluate the efficacy and safety of laparoscopic cervico-isthmic cerclage.
  • To compare outcomes with previous cerclage procedures and patient history.
  • To assess the feasibility of laparoscopic cerclage for preventing obstetrical accidents.

Summary:

  • A retrospective study of 14 patients undergoing laparoscopic cervico-isthmic cerclage using a modified Benson technique.
  • Indications included prior vaginal cerclage failure (6 cases) and anatomical incompatibility (8 cases).

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  • The procedure was performed on an outpatient basis with no operative complications; 5 of 6 pregnancies resulted in term deliveries via cesarean section.

    • Impact:

    • Laparoscopic cervico-isthmic cerclage is easily performed and technically feasible.
    • The indications align with those for laparotomy.
    • This approach demonstrates efficiency in increasing term deliveries and improving obstetrical outcomes for high-risk pregnancies.