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  • Title: Laparoscopic cervicoisthmic cerclage for the treatment of cervical incompetence: case reports.
    Author: DaCosta V, Wynter S, Harriott J, Christie L, Frederick J, Frederick-Johnston S.
    Journal: West Indian Med J; 2011 Oct; 60(5):590-3. PubMed ID: 22519240.
    Abstract:
    Cervical insufficiency/incompetence occurs in 0.5-1% of all pregnancies, often resulting in significant pregnancy lost. Three women with a history of second trimester miscarriages after failed transvaginal cervical cerclages were reviewed. A laparoscopic cervicoisthmic cerclage (LCC) was placed before pregnancy without any intra-operative or postoperative complications. Two patients have since delivered live babies at term by Caesarean section. This small case series supports the conclusion that LCC is a safe and cost-effective procedure in properly selected patients. Laparoscopic cervicoisthmic cerclage costs less, is less invasive, has fewer complications and should replace the traditional laparotomy technique.
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