Laparoscopic interval cervical encirclage is a surgical procedure performed to prevent cervical incompetence or cervical insufficiency, which can lead to second-trimester pregnancy loss or preterm birth. This procedure involves placing a permanent suture (cervical cerclage) around the cervix to provide support and prevent it from opening prematurely during pregnancy. Laparoscopic interval cervical encirclage is typically performed in women with a history of cervical insufficiency who are not pregnant.
Laparoscopic interval cervical encirclage is performed under general anesthesia. During the procedure, small incisions are made in the abdomen, and a laparoscope (a thin, flexible tube with a camera) is inserted to visualize the cervix and surrounding structures. Specialized instruments are used to place a permanent suture (cervical cerclage) around the cervix to provide support and reinforce its strength. The procedure is performed before pregnancy to reduce the risk of pregnancy loss or preterm birth.
Women with a history of cervical insufficiency or second-trimester pregnancy loss may be candidates for laparoscopic interval cervical encirclage. A thorough evaluation by a maternal-fetal medicine specialist or reproductive endocrinologist is necessary to determine the underlying cause of pregnancy loss and assess the patient's suitability for surgery. Factors such as the patient's reproductive goals, overall health, and personal preferences will also be considered in the decision-making process.
The recovery process after laparoscopic interval cervical encirclage is generally quick, with most patients able to resume normal activities within a few days. Pain medication, antibiotics, and instructions for caring for the surgical site will be provided to promote healing and prevent complications. Regular follow-up appointments with a healthcare provider will be scheduled to monitor the cervix and assess the success of the procedure. Laparoscopic interval cervical encirclage is typically performed before pregnancy to reduce the risk of pregnancy loss or preterm birth.
Rest and Limit Activity : Avoid strenuous activities, heavy lifting, and vigorous exercise for the recommended period.
Keep the Area Clean : Gently clean the surgical area with water and mild soap as directed by your surgeon. Pat the area dry with a clean towel, and avoid rubbing or scrubbing.
Take Prescribed Medications : Take any prescribed pain medications, antibiotics, or other medications as instructed by your surgeon to manage pain and prevent infection.
Avoid Sexual Activity : Refrain from sexual intercourse and other sexual activities until your surgeon advises it is safe to do so. This typically takes several weeks to a month or more, depending on individual healing.
Wear Loose Clothing : Wear loose-fitting clothing, preferably cotton underwear, to minimize friction and promote airflow to the surgical area.
Attend Follow-Up Appointments : Keep all scheduled follow-up appointments with your surgeon to monitor your healing progress and address any concerns or complications promptly.
Avoid Tampons and Menstrual Cups : Refrain from using tampons and menstrual cups during your recovery period to prevent irritation and infection.
Stay Hydrated and Eat Nutritious Foods : Drink plenty of water and eat a balanced diet rich in vitamins and nutrients to support healing and boost your immune system.
VMG Hospital in Hisar, Haryana, offers expert care and advanced treatment options for women requiring laparoscopic interval cervical encirclage. Our team of experienced maternal-fetal medicine specialists, reproductive endocrinologists, and minimally invasive surgeons is dedicated to providing personalized care and support throughout the treatment journey. With state-of-the-art facilities, advanced laparoscopic technology, and a patient-centered approach, VMG Hospital is committed to delivering the highest quality of care and improving outcomes for women with cervical insufficiency or pregnancy loss.