Interval Robotac: Herlyn-Werner-Wunderlich Syndrome

Abstract

Video Objective The objective of this video is to illustrate the indications and demonstrate the techniques for the placement of a transabdominal cerclage robotically in a patient with Herlyn-Werner Wunderlich syndrome. Setting This case presentation discusses a 33 year old G1P0010 with a history of a missed abortion and uterine anomaly. She was diagnosed with Herlyn-Werner-Wunderlich syndrome based on MRI findings. After a failed D&C, the patient had a hysteroscopy and laparoscopy which showed findings consistent with this syndrome and concern for cervical insufficiency. Interventions Due to this uterine anomaly and her cervical abnormalities, the patient was recommended a prophylactic cerclage. A transabdominal cerclage was indicated in this setting. Conclusion A transabdominal cerclage can successfully be placed robotically in a patient with a uterine anomaly in the non-pregnant state.