Endoscopic transabdominal cervical cerclage

Objective To describe a case of endoscopic transabdominal cervical cerclage . Setting St Mary's Hospital, Paddington, London, UK. Subject A 33-year-old lady with clinical cervical incompetence. Intervention Cervical cerclage was performed with zero gauge coated polyest er at the level of the internal os. Results The duration of the operation was 50 min and was performed uneventf ully. Prior to surgery the cervix admitted the largest dilator available (1 4 mm) without resistance. After the operation, the internal os did not admi t a dilator of 9.5-mm diameter. The patient was discharged 18 hours after c ompletion of the procedure. Conclusion In this instance, laparoscopic cervical cerclage proved technica lly easy for a surgeon trained in laparoscopic suturing methods and resulte d in discharge from hospital in the morning following an afternoon procedur e.