LAPAROSCOPIC TRANSABDOMINAL CERVICOISTHMIC CERCLAGE

Objective: To report a laparoscopic technique for placement of a trans abdominal cervicoisthmic cerclage. Design: Detailed case report of one of three patients undergoing described procedure, Setting: University hospital, Patient: A 39-year-old infertile patient with a history of cervical adenocarcinoma in situ and two cone biopsies, resulting in an essentially absent exocervix. Intervention(s): Laparoscopic transabdo minal cervicoisthmic cerclage placement, as an interval procedure, fol lowed by ET of cryopreserved donor oocyte-derived embryos. Main Outcom e Measure(s): Clinical outcome. Result(s): Establishment of a pregnanc y delivered at 38 1/2 weeks of gestation by elective cesarean section. Conclusion(s): Patients believed to require a transabdominal cerclage may undergo a laparoscopic interval procedure, obviating the need for a laparotomy before or during pregnancy. ((C) 1998 by American Societ y for Reproductive Medicine.).