Modified Laparoscopic Transabdominal Cervicoisthmic Cerclage for the Surgical Management of Recurrent Pregnancy Loss due to Cervical Factors
- Affiliated Author(s)
- 정혜원; 이승미; 장태규; 배진곤; 권상훈; 신소진; 조치흠
- Alternative Author(s)
- Chung, Hye Won; Lee, Seung Mee; Jang, Tae Kyu; Bae, Jin Gon; Kwon, Sang Hoon; Shin, So Jin; Cho, Chi Heum
- Journal Title
- J Clin Med
- ISSN
- 2077-0383
- Issued Date
- 2021
- Keyword
- recurrent pregnancy loss; uterine cervical incompetence; premature birth; cervical cerclage; laparoscopy
- Abstract
- This study aimed evaluate the feasibility of modified laparoscopic transabdominal cervicoisthmic cerclage (LTCC) and its impact on recurrent pregnancy loss (RPL) and is a retrospective observational cohort study of patients who underwent modified LTCC from 2003 to 2018 (n = 299). The surgery was performed at a mean gestational age of 12.5 weeks (range 10.5–17.5 weeks). Of the 299 patients, 190 were reported as having undergone abortion (one abortion: 91 (47.9%), two: 59 (31.1%), three or more: 40 (21.1%)) before the present pregnancy and prior to the surgery. The mean operation time was 47.4 min (range 15–100 min). We followed up with 205 of 299 patients and recorded their obstetric outcomes. There were 176 successful deliveries via cesarean section, and the fetal survival rate was 85.9% (176/205). The results of this study suggest that modified LTCC is a safe and feasible surgical option during pregnancy for patients with a history of RPL due to cervical factors.
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