Laparoscopic Suture (cerclage) in recurrent cervical insufficiency

Cervical insufficiency, usually 16-24 weeks of pregnancy. It causes miscarriage or very premature births as a result of the opening of the cervix painlessly between weeks of gestation. The diagnosis can often be made after the loss of the first pregnancy.

In the treatment of cervical insufficiency, usually 13-14 days before the cervix begins to open. Cerclage, that is, suturing of the cervix, should be planned during pregnancy weeks. The first preferred method is vaginal suturing (cerclage). However, in some special cases, an open or preferably laparoscopic, that is, closed, suture can be performed by making an incision in the abdomen that fits the cesarean section shade.

When should laparoscopic cerclage be planned?

  • In cases where vaginal cerclage failed in previous pregnancies (at least 2 times)
  • In cases where the cervix is ​​very short or irregular
  • In patients who have had a large part of the cervix removed due to early cervical cancers or dysplasia

When should laparoscopic cerclage be planned?

Before pregnancy, the period when the uterus is small and blood supply is low is the most appropriate period. Pregnancy is recommended 6 weeks after the procedure. If there is an existing pregnancy, the procedure can be performed in the first 3 months of pregnancy.


What are the advantages of laparoscopic cerclage?

With this method, it is possible to reach much higher than the cervix and suture it here.

  • It can be done easily by entering through 3 small holes without the need for an incision such as cesarean section.
  • Our patients can be discharged in the evening on the same day.
  • After the 90th week of pregnancy, 34% of the baby is born.
  • Stitching does not prevent you from getting pregnant in any way.
  • It can also be used for subsequent deliveries by leaving the stitches in place after birth.
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