Experience of laparoscopic transabdominal cerclage for correcting cervical incompetence
- Authors: Ldynina T.Y.1, Pogodin O.O.1, Ivshin A.A.2, Shakurova E.Y.1
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Affiliations:
- K.A. Gutkin Republican Perinatal Center
- Petrozavodsk State University
- Issue: No 5 (2024)
- Pages: 152-156
- Section: Guidelines for the Practitioner
- URL: https://journals.rcsi.science/0300-9092/article/view/258718
- DOI: https://doi.org/10.18565/aig.2023.283
- ID: 258718
Cite item
Abstract
Relevance: The significance and relevance of the issue of miscarriage due to cervical incompetence have been determined. According to Order 1130n and relevant clinical guidelines, the main methods for treating cervical incompetence are the combined use of progestogens in combination with obstetric pessaries or surgical correction. The article presents the experience of using laparoscopic transabdominal cerclage (LTC) in K.A. Gutkin Republican Perinatal Center, Petrozavodsk, Russia. LTC can be considered as a method of choosing the correction of cervical incompetence in patients with repeated cases of termination of pregnancy.
Case report: This is a clinical observation of a favorable termination of pregnancy after LTC in a patient with a congenital abnormality of the reproductive apparatus and habitual miscarriage due to cervical incompetence. Surgical treatment was performed at the preconception stage by applying the tape “Cervix-Set” to the uterine isthmus. The patient became pregnant after ART, cryopreservation. During pregnancy, the patient was admitted to an obstetric hospital three times as there was a threat of pregnancy termination. The length of the closed part of the cervix remained within normal values during cervicometry. The pregnant woman had a cesarean section to deliver her baby at 36 weeks 1 day gestation due to premature rupture of membranes.
Conclusion: Given the limited experience of managing patients with LTC, it is necessary to conduct further studies on the effectiveness and safety of this operation.
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##article.viewOnOriginalSite##About the authors
Tatiana Yu. Ldynina
K.A. Gutkin Republican Perinatal Center
Author for correspondence.
Email: scipeople@mail.ru
obstetrician-gynecologist at the Obstetrics Department
Russian Federation, PetrozavodskOleg O. Pogodin
K.A. Gutkin Republican Perinatal Center
Email: scipeople@mail.ru
obstetrician-gynecologist, Head of the Gynecology Department
Russian Federation, PetrozavodskAlexander A. Ivshin
Petrozavodsk State University
Email: scipeople@mail.ru
ORCID iD: 0000-0001-7834-096X
PhD, Associate Professor, Head of the Department of Obstetrics and Gynecology, Dermatovenerology of the Medical Institute
Russian Federation, PetrozavodskElena Yu. Shakurova
K.A. Gutkin Republican Perinatal Center
Email: scipeople@mail.ru
obstetrician-gynecologist, Deputy Chief Physician for Medical Affairs
Russian Federation, PetrozavodskReferences
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