Laparoscopic prepregnancy transabdominal cerclage: operative and pregnancy outcomes for a novel technique of suture placement using port closure device - 04/05/24
, Catherine Windrim, MD b, Shane Higgins, MD b, Fionnuala M. McAuliffe, MD a, Michael Wilkinson, MD b, Donal O’Brien, MD b, Siobhan Corcoran, MD bAbstract |
Transabdominal cerclage is an effective surgical intervention for preterm birth prevention. Placement of cervical sutures using a port closure device for prepregnancy laparoscopic abdominal cerclage has been used at our unit in recent years. We report the operative and pregnancy outcomes for prepregnancy laparoscopic abdominal cerclage using the port closure device and compare it with the outcomes of the traditional approach.
For prepregnancy laparoscopic transabdominal cerclage (n=52), the port closure device approach was associated with less blood loss during surgery (0.95±4.4 mL vs 5.4±15.7 mL; P =.007) and a shorter hospital length of stay (0.0; 0.0–0.0 days vs 1.0; 0.0–1.0 days; P < .001). There were also trends toward shorter operating times (41.4±15.3 minutes vs 50.1±18.0 minutes; P =.167) and lower perioperative complication rates (0.0%; 0/21 vs 16.1%; 5/31; P =.065) when compared with the traditional technique. There was no significant difference between the port closure device technique and the traditional approach in the rate of preterm birth in a subsequent pregnancy (0.0%; 0/9 vs 22.6%; 7/39; P =.248).
Use of the port closure device for suture placement during prepregnancy laparoscopic cerclage for preterm birth prevention was reported. This technique was associated with less blood loss and a shorter hospital length of stay, had trends toward shorter operating times and lower perioperative complication rates, and had similar rates of preterm birth.
Le texte complet de cet article est disponible en PDF.Key words : abdominal cerclage, laparoscopy, preterm birth
Plan
| This study did not receive any funding. |
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| The authors report no conflict of interest. |
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| Some of the findings of this study was presented at the 38th annual pregnancy meeting of the Society for Maternal-Fetal Medicine, Dallas, TX, January 29–February 3, 2018. |
Vol 230 - N° 5
P. 578-580 - mai 2024 Retour au numéro
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