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Laparoscopic Cervical Cerclage: Do Not Catch the Wrong Needle, or What to Do Next if It Happens!
- Source :
- Journal of minimally invasive gynecology. 28(5)
- Publication Year :
- 2020
-
Abstract
- Study Objective To present a technique to correct the misplacement of tape during laparoscopic cervical cerclage. Catching and introducing the wrong needle resulted in a knot formed around the right adnexa. Design Step-by-step demonstration of the mistake and the technique to correct it. Setting A patient para 0+V (V corresponds to 5) with cervical insufficiency was managed with laparoscopic interval cerclage 1 , 2 , 3 . The patient's 2 most recent pregnancies had been managed with emergency transvaginal cerclage, which failed to prolong her gestation beyond 24 weeks. Interventions Before the cerclage procedure a 2.0 × 0.8-cm deep endometriotic nodule was excised. Both curved needles were straightened extracorporeally, and the tape was dropped inside the peritoneal cavity. The first needle was introduced successfully through the right side. After insertion of—what was believed to be—the same needle through the left side following the opposite direction, it was discovered that a tight knot had been formed around the right adnexa ( Fig. 1 ). To avoid complete removal, the needleless tape was pulled back completely from the right side (Supplemental Fig. 1), and this end was stitched to a straight needle 2-0 polyglactin suture. The much thinner needle passed easily through the already created path, along with the tape (Supplemental Fig. 2), and the procedure was completed as planned (Supplemental Fig. 3). Conclusion When performing laparoscopic cervical cerclage with the tape and needles inside the abdomen, it is important to keep both under constant view. In the event of misplacement, no need to completely remove the tape. The tape's cut end can still be reintroduced successfully, stitched to a straight needle suture.
- Subjects :
- medicine.medical_specialty
Cerclage procedure
Cervical insufficiency
Polyglactin suture
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Pregnancy
Abdomen
medicine
Humans
Cervical cerclage
Laparoscopy
Cerclage, Cervical
030219 obstetrics & reproductive medicine
Transvaginal cerclage
medicine.diagnostic_test
Right adnexa
business.industry
Obstetrics and Gynecology
Surgery
030220 oncology & carcinogenesis
Female
Uterine Cervical Incompetence
business
Subjects
Details
- ISSN :
- 15534669
- Volume :
- 28
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of minimally invasive gynecology
- Accession number :
- edsair.doi.dedup.....02d53e41be0a6b3520c8601b2ca72938