Removal of an Abdominal Cerclage by Colpotomy

Authors :: Eline M. van ‘t Hof
Judith A.F. Huirne
Nicole B. Burger
Obstetrics and Gynaecology
04 Woman - Child
Obstetrics and gynaecology
ACS - Atherosclerosis & ischemic syndromes
APH - Quality of Care
APH - Societal Participation & Health
Amsterdam Reproduction & Development (AR&D)
Source :: Journal of minimally invasive gynecology, 27(7), 1636-1639. Elsevier, Journal of Minimally Invasive Gynecology, 27(7), 1636-1639. Elsevier, Burger, N B, van ‘t Hof, E M & Huirne, J A F 2020, ' Removal of an Abdominal Cerclage by Colpotomy : A Novel and Minimally Invasive Technique ', Journal of Minimally Invasive Gynecology, vol. 27, no. 7, pp. 1636-1639 . https://doi.org/10.1016/j.jmig.2020.05.022
Publication Year :: 2020
Abstract: Abdominal cerclage is an effective treatment for cervical incompetence in patients with a previously failed vaginal cerclage or with anatomic restrictions to a vaginal cerclage. Management of second trimester complications that warrant a delivery impose a complex clinical situation in patients with an abdominal cerclage. We report 3 cases of successful removal of an abdominal cerclage by posterior and anterior colpotomy in the second trimester of pregnancy. This new and minimally invasive surgical technique avoids the need for extensive dilation, laparoscopy, or laparotomy to remove the cerclage and allow a vaginal delivery.