Best Preconception Laparoscopic Transabdominal Cerclage in Chandigarh

Patients with refractory cervical insufficiency are increasingly choosing laparoscopic abdominal cerclage as their preferred treatment option. Similar to open abdominal cerclage, laparoscopic abdominal cerclage reduces second-trimester loss and preterm birth. Patients who delivered prematurely despite a vaginal cerclage may also benefit from improved neonatal survival rates with abdominal cerclage compared to repeat vaginal cerclage. The choice to play out an exceptionally powerful treatment utilizing insignificantly obtrusive strategies recommends laparoscopic stomach cerclage will turn into the norm of care for hard-headed cervical deficiency. The laparoscopic approach is emphasized in this literature review of the indications and outcomes of abdominal cerclage.

During pregnancy, cervical cerclage is used to keep your cervix closed and prevent premature birth due to an incompetent (weakened) cervix. A cervical cerclage is probably what your doctor will recommend if your cervix is weak. This is done to safeguard the fetus inside your uterus until you are ready to give birth.

In order to keep your cervix safely closed throughout your pregnancy, your healthcare provider will perform this procedure by inserting one or more sutures (stitches) into the opening.

Best Preconception Laparoscopic Transabdominal Cerclage in Chandigarh - Motherhood Chaitanya Hospital

The lower part of your uterus, or opening, is called your cervix. Your uterus resembles a pocket or tote, and a cervical cerclage system resembles strings that keep the satchel shut.

An operative laparoscopy with four 5 mm-wide incisions, one for the camera and three for the instruments, is used to perform the procedure under general anesthesia.

The ureters and bladder are identified by the surgeon, who also dissects the anatomical spaces around the cervix to reveal the arteries in the uterus.

Best Preconception Laparoscopic Transabdominal Cerclage in Chandigarh - Motherhood Chaitanya Hospital

When the woman is not pregnant, it is best to perform the cerclage. Pre-pregnancy cerclage or interval procedure is the name of this procedure. The non-pregnant uterus is easier to operate on due to its smaller size, fewer blood vessels, and ease of manipulation.Additionally, the fetus is undoubtedly unaffected. Some women discover that they require a transabdominal cerclage only after becoming pregnant. In this scenario, the procedure can be performed during pregnancy up to approximately 12 weeks of gestation. Although the procedure is slightly altered to accommodate the pregnant uterus, the final result is very similar.

The most common risks, as with any surgical procedure, are: excessive bleeding, infection, and damage to nearby organs like the bowel, bladder, and large vessels are all possible outcomes. The following are possible outcomes:A blood transfusion may be required for excessive bleeding. Antibiotics may be required for an infection of the surgical incisions; If bladder damage is found and sutured during surgery, it usually heals well and does not cause any problems; Damage to the bowel or ureters may necessitate more colorectal or urologic surgery and a longer hospital stay.

Best Preconception Laparoscopic Transabdominal Cerclage in Chandigarh - Motherhood Chaitanya Hospital

If you experience any of the following, immediately contact your healthcare provider:

a fever that is very high (more than 100 degrees Fahrenheit, or 37.7 degrees Celsius).

recurring pain in the lower abdomen known as contractions.

Vaginal odor or discharge that smells bad.

Leaking or breaking the water.

a lot of bleeding.

A note from Cleveland Clinic: If you need a cervical cerclage procedure, it's normal to be scared or have questions. Consideration of cerclage treatment may be frightening, but it is successful in nearly 90% of cases. However, pregnant women who have a short or incompetent cervix can also have this condition in subsequent pregnancies.

Discuss openly with your doctor how to prepare for a healthy pregnancy. Talk to them about your concerns and any questions you may have.