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Published on: September 13, 2022
Interval Laparoscopic Transabdominal Cervical Cerclage (ILTACC) Using Needleless Mersilene Tape for Cervical
Quenny Michelle Dyan Apat Alas1,2,3, Chyi-Long Lee3,4, Hsin-Hong Kuo3
1Department of Obstetrics and Gynecology, Adventist Medical Center, Iligan City, Taiwan.
Insights
This study demonstrates the safety and feasibility of Interval Laparoscopic Transabdominal Cervical Cerclage (ILTACC) using needleless mersilene tape for cervical incompetence. The procedure showed minimal complications and short hospital stays in three patients.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Reproductive Medicine
Background:
- Cervical incompetence (CI) poses risks during pregnancy.
- Interval Laparoscopic Transabdominal Cervical Cerclage (ILTACC) is an increasingly preferred surgical option for nonpregnant patients with CI.
- ILTACC offers advantages in managing cervical insufficiency.
Purpose of the Study:
- To evaluate the feasibility of a three-step Interval Laparoscopic Transabdominal Cervical Cerclage (ILTACC) procedure.
- To assess the safety and outcomes of using a needleless mersilene tape for ILTACC in patients with cervical incompetence (CI).
Main Methods:
- A case series involving three patients diagnosed with cervical incompetence (CI) who underwent ILTACC.
- Surgical outcomes were measured, including operative time, blood loss, and hospital stay.
- Descriptive statistics were used to analyze demographic data and surgical results.
Main Results:
- The study included three patients with a mean age of 31 years.
- The average operative time was 149 minutes, with minimal blood loss (≤ 60 ml) and no transfusions.
- Patients experienced short hospital stays (1-2 days) with no intraoperative or postoperative complications, and no conversions to laparotomy.
Conclusions:
- Interval Laparoscopic Transabdominal Cervical Cerclage (ILTACC) using a needleless mersilene tape is safe and feasible.
- Further evaluation in a larger cohort is recommended to confirm these findings for cervical incompetence treatment.
Abstract:
Interval Laparoscopic Transabdominal Cervical Cerclage (ILTACC) has become a procedure of choice for many laparoscopic surgeons in nonpregnant patients diagnosed with cervical incompetence (CI) due to the inherent advantages it offers. The study was conducted to describe the feasibility of performing a three-step approach of ILTACC using a needleless mersilene tape in patients diagnosed with CI. A case series of three patients diagnosed with CI who underwent ILTACC using needleless mersilene tape referred at a tertiary hospital for cerclage. Women diagnosed with CI who underwent ILTACC using a needleless mersilene tape were included in the study, and surgical outcomes were measured. Descriptive statistics were used to describe the demographic profile and surgical outcomes of the patients. Three patients with a mean age of 31 (standard deviation [SD] = 4.96) years with a gravidity of 2.67 (SD, 0.82) and parity of 0.33 (SD, 0.47) were selected. The cervical length was 1.98 (SD, 0.76) cm. The average operative time was 149 (SD, 43.87) minutes. All patients had minimal blood loss (≤ 60 ml) without intraoperative blood transfusion. The hospital stay was 1.33 (SD, 0.47) days with a median of 1 and a range of 1-2 days. No intraoperative or postoperative complications were noted. No cases were converted to laparotomy. The result of this article shows the safety and feasibility of ILTACC using needleless mersilene tape. However, it should be evaluated in more cases.
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