Laparoscopic abdominal cerclage offers a faster recovery, markedly reduced pain and discomfort, and less blood loss compared with traditional abdominal cerclage, and patients are typically able to return home the same day of the procedure. Generally, patients are able to return to normal daily activities one week following laparoscopic abdominal cerclage compared with four to six weeks following open abdominal cerclage. In addition, patients can be simultaneously treated for uterine fibroids and other coexisting conditions using minimally invasive approaches.
Jon I. Einarsson, MD, MPH, Director of Minimally Invasive Gynecologic Surgery at Brigham and Women’s Hospital, performs laparoscopic abdominal cerclage for cervical insufficiency. The procedure, which provides support at the internal os of the cervix, is ideally performed before pregnancy for women who have experienced more than one cervical complication in prior pregnancy and is suitable for patients with prior failed vaginal cerclage or a short cervix ineligible for vaginal cerclage.