Why Your Doctor Might Suggest a Laparoscopic Cervical Cerclage?

If you’re pregnant and at risk of having an early miscarriage, your doctor may suggest that you have cervical cerclage surgery. You may also hear it called cervical stitch or cerclage. But what is cervical cerclage? Why might your doctor recommend it? And how will this surgery affect your pregnancy? This article will give you all the clear insights and answers of these questions

What is a Laparoscopic Cervical Cerclage?


A laparoscopic cervical cerclage is a surgical procedure that places sutures around the cervix to help support it while it heals. It can be done through an incision in the abdomen or through the vagina, depending on your preference. The surgery takes about an hour and will require you to spend one night in the hospital, so your doctor might suggest this if you're pregnant with twins or if you've had heavy vaginal bleeding during pregnancy.


A laparoscopic cervical cerclage is usually done when there's something wrong with the cervix that requires immediate medical attention, but can also be done as a preventative measure for those who have experienced premature birth in previous pregnancies.


Why is it Suggested?


A laparoscopic cervical cerclage is suggested to help prevent preterm birth in women with: 

1) Short cervices; 

2) Those who are pregnant with multiples; 

3) Those who have incompetent cervixes; 

4) Those whose water has broken early in pregnancy. 

This procedure involves suturing the cervix closed to prevent the baby from descending into the vaginal canal. The risk of this surgical procedure is that it may increase the risk of premature rupture of membranes and infection, as well as an increased likelihood that labor will need to be induced, but it does not increase the risk of cesarean delivery.


The Procedure


A Laparoscopic cervical cerclage in Coimbatore is the process of inserting a laparoscope, which is an instrument with a light and small camera that can be used to look inside the abdomen or pelvic cavity, through an incision in the abdominal wall. A laparoscopy is usually done by making two small incisions (cuts) on either side of the navel, called trocar sites. The trocars are then inserted through these two incisions and into the abdomen. One or more additional small cuts are made in order to insert surgical instruments into the abdominal cavity. With this technique, it may not be necessary to make any larger abdominal incision (cut). This surgery offers many benefits including less pain, shorter recovery time and quicker healing process when compared to traditional open surgery.


Risks and Complications


Laparoscopic cervical cerclage is the placement of a small plastic band, or device, around the cervix. This is done to decrease the likelihood that the cervix will open and allow for pregnancy. The most common complication is that the device can come loose from its position around the cervix. Another risk is uterine perforation, which occurs when it pierces through to other parts of your uterus during surgery. This could cause serious injury to internal organs like your bladder and bowel. However with doctor’s supervison treatment and advice could be able to manage.


The success rate of laparoscopic cervical cerclages falls at about 80% if they are done within seven days after delivery.


Post-operative Care


After surgery, you'll be moved to the recovery room where you'll spend an hour or two to allow your anesthesia to wear off and for your blood pressure to regulate. Once you're feeling good enough, you'll be discharged home with the following instructions:

  • Rest for the remainder of the day. You may need someone else to drive you home as well as stay with you until your family member or friend is able to take over.

  • Take pain medication as needed. We will prescribe pain medication that can be taken every four hours as needed. The most common side effects are constipation, nausea, and drowsiness; these will subside within a week post-operatively.




Location: India

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