Related Experiment Video
Updated: Jul 3, 2025
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Laparoscopic transfundal approach to cervical dilation: a novel treatment for cervical stenosis and cervical factor
Christine E Hur1, Jeffrey M Goldberg1
1Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Women's Health Institute, Cleveland Clinic, Cleveland, Ohio.
Objective:
To demonstrate a novel technique used to restore cervical patency in a patient with severe iatrogenic cervical stenosis.
Design:
Surgical video case report.
Setting:
A single academic institution.
Patient(S):
We highlight the case of a 35-year-old nulliparous woman with a history of primary infertility. Her past medical history was significant for focal, invasive, well-differentiated squamous cell carcinoma of the cervix, for which she underwent a loop electrosurgical excision procedure. During her infertility assessment, she was found to have an extremely stenotic cervix that was refractory to conventional treatment options.
Interventions:
This video highlights our innovative laparoscopic transfundal technique used to restore her cervical patency.
Main Outcome Measures:
None, as this is a descriptive case report.
Results:
Postoperatively, the patient had continued cervical patency for >1 year with successful fertility treatment resulting in pregnancy.
Conclusions:
To our knowledge, this is the first case report describing a laparoscopic transfundal approach used to reestablish cervical patency. This approach may be considered for patients with cervical stenosis who have not responded to standard conservative therapies.
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