Laparoscopic transabdominal cerclage in pregnant woman after fertility
sparing treatment for early-stage cervical cancer: operative technique
in ten steps.
Fertility sparing treatments are increasingly used in patients with
early-stage cervical cancer. The residual shortened cervix that might
lead to a risk factor of preterm birth. When a vaginal cerclage is not
technically feasible, a laparoscopic transabdominal cerclage (LAC) could
be offered before or after conception. In this article we show how to
safely perform a post-conceptional LAC in patients with insufficient
residual cervical length for vaginal cerclage. LAC in pregnancy,
although made more difficult due to the size of the uterus, is a safe
and feasible procedure combining the advantages of minimally invasive
surgery with excellent obstetric result.