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Robot-Assisted Abdominal Cerclage During Pregnancy.
Burak Zeybek1, Amanda Hill2, Gulden Menderes3
1Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Texas, USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|December 2, 2016
Summary
Robot-assisted abdominal cerclage is a safe and effective procedure for pregnant patients, particularly those with a history of failed vaginal cerclage. This minimally invasive approach helps prevent preterm birth and improves pregnancy outcomes.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Surgery
- Maternal-Fetal Medicine
Background:
- Cervical insufficiency poses risks for preterm birth, miscarriage, and perinatal complications.
- Diagnosing cervical insufficiency can be challenging.
- Robot-assisted abdominal cerclage offers a potential solution for managing this condition during pregnancy.
Purpose of the Study:
- To evaluate the safety and efficacy of robot-assisted abdominal cerclage during pregnancy.
- To assess outcomes in patients undergoing this procedure for cervical insufficiency.
Main Methods:
- Retrospective case series and systematic literature review.
- Inclusion of patients who underwent robot-assisted abdominal cerclage between January 2010 and March 2016.
- Analysis of surgical outcomes, gestational age at delivery, and maternal-fetal complications.
Main Results:
- The case series included six patients; the systematic review analyzed sixteen patients.
- Indications included failed vaginal cerclage and cervical trauma.
- Robot-assisted abdominal cerclage demonstrated low operative times, minimal blood loss, and early discharge.
- High rates of delivery after 36 weeks were observed, with no cases of chorioamnionitis or preterm premature rupture of membranes.
Conclusions:
- Robot-assisted abdominal cerclage is a safe and effective surgical option for managing cervical insufficiency during pregnancy.
- The procedure is associated with favorable pregnancy outcomes, including term delivery.
