Laparoscopic transfundal approach to cervical dilation: a novel treatment for cervical stenosis and cervical factor infertility

Abstract

To demonstrate a novel technique used to restore cervical patency in a patient with severe iatrogenic cervical stenosis. Surgical video case report. A single academic institution. We highlight the case of a 35-year-old nulliparous woman with a history of primary infertility. Her past medical history was significant for focal, invasive, well-differentiated squamous cell carcinoma of the cervix, for which she underwent a loop electrosurgical excision procedure. During her infertility assessment, she was found to have an extremely stenotic cervix that was refractory to conventional treatment options. This video highlights our innovative laparoscopic transfundal technique used to restore her cervical patency. None, as this is a descriptive case report. Postoperatively, the patient had continued cervical patency for >1 year with successful fertility treatment resulting in pregnancy. To our knowledge, this is the first case report describing a laparoscopic transfundal approach used to reestablish cervical patency. This approach may be considered for patients with cervical stenosis who have not responded to standard conservative therapies.