Laparoscopic Cervical Cerclage Using 5-mm Mer-Silene Tape

Abstract

Study Objective: One patient with a history of second trimester miscarriage after failed vaginal cerclage. A laparoscopic cervical cerclage was placed before pregnancy under general anesthesia. The bladder flap of peritoneum was been dissected horizontally. Both side uterine artery was revealed and isolated from the parametrium with monopolar diathermy. Curved laparoscopic forceps were used to create a tunnel in the avascular space close to uterus at the level of the cervicourerine junction. A 5-mm Mersilene tape was placed into the right side tunnel from anterior to posterior broad ligament and then placed into the left side tunnel from posterior to anterior broad ligament round the posterior cervicourerine junction.