Removal of an Abdominal Cerclage by Colpotomy: A Novel and Minimally Invasive Technique

Nicole B. Burger*, Eline M. van ‘t Hof, Judith A.F. Huirne

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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.

Original languageEnglish
JournalJournal of Minimally Invasive Gynecology
DOIs
Publication statusAccepted/In press - 1 Jan 2020

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