Transabdominal cervical cerclage: Laparoscopy or laparotomy

Abstract

Cervical incompetence is one of the common causes of recurrent pregnancy loss. Transabdominal cervical cerclage is the option where previous vaginal cerclages have failed or in patients with congenital short or absent cervix, a lacerated cervix, severe scarring of the cervix, and multiple deep cervical defects. So this review is aimed to study the effectiveness of laparoscopic cerclage in comparison with cervical cerclage by laparotomy. A literature search was performed using Springer link, BMJ, Journals of Minimal Access Surgery, and major general search engines like Google, MSN, HighWire Press, and Yahoo. The stu dies between 2000 and 2015 were selected and were reviewed for the prolongation of pregnancy, intraoperative and postoperative complications, operating time, blood loss, postoperative recovery in both the laparoscopic and open procedure. The review concludes that if transabdominal cervical cerclage is preferred then laparoscopic approach is superior to laparotomy as it is as effective as open method with fast postoperative recovery.