Laparoscopic Surgery Specialist in Kolkata, India

Laparoscopic Cervical Encirclage

by Dr. Sankar Dasmahapatra

The Laparoscopic Transabdominal Cerclage (TAC) is a surgical procedure to treat cervical insufficiency. A suture is placed around the cervix at its uppermost part near the transition with the uterine body.

What is the success rate of a laparoscopic cervical cerclage?

It has a success rate of 79%–100%. The most common indication for LTAC in women with cervical incompetence is failed vaginal cerclage in prior pregnancies.

How long do you have to rest in bed after cervical cerclage?

You should plan to rest the day of your procedure and not attend school or work. Your healthcare provider will want you to allow plenty of time for your stitches to heal — about 10 days — before you engage in any strenuous exercise or sexual intercourse.

Is normal delivery possible after cervical cerclage?

Conclusion: The mean interval between elective cerclage removal and spontaneous delivery is 14 days. Women with cerclage who achieved 36-37 weeks should be counseled that their chance of spontaneous delivery within 48 hours after elective cerclage removal is only 11%.

When is the best time for cervical cerclage?

A cerclage is done in the second trimester of pregnancy to prevent preterm birth. Why is a cerclage placed? Sometimes the cervix isn't strong enough to stay closed as the pregnancy grows. This weakness is called cervical insufficiency (formerly called an incompetent cervix).

Can I climb stairs after cervical cerclage?

Family and friends may tell you to avoid climbing stairs after having a cervical stitch. However, there is no scientific evidence yet to prove that this could cause any issues. Each case is different, so consult your doctor for any advice.

Does bed rest help cerclage?

Conclusions Therapeutic cerclage with bed rest increases cervical length more often than bed rest alone. A postinter- vention cervical length ≥ 25 mm reduces the risk of preterm delivery in women at high risk of cervical incompetence and a preintervention cervical length < 25 mm.

Dr.Sankar Das Mahapatra is one of the best gynaecology surgeon in Kolkata to treat laparoscopic cervical encirclage.