Surgical Film Library-Robotic Double Cerclage as an Effective Alternative to Prevent Extreme Premature Delivery After Trachelectomy: Step-by-step and Obstetric Outcomes

Robotic Double Cerclage as an Effective Alternative to Prevent Extreme Premature Delivery After Trachelectomy: Step-by-step and Obstetric Outcomes

Back to course

Video Transcription

Video Summary

This video presents a robotic double-circlage technique to prevent extreme premature delivery after trachelectomy in three cervical cancer patients at 13 weeks gestation. Using two polyester tape sutures placed at different cervical levels and guided by transvaginal uterine sound, the cervix is effectively closed. The procedure involves adhesiolysis and bladder mobilization, ensuring fetal vitality and accurate suture placement. No surgical or obstetric complications occurred. All patients underwent cesarean delivery at around 34 weeks, with newborns averaging 2.3 kg, demonstrating this method as a safe and effective fertility-sparing alternative to reduce premature birth risk.

Asset Subtitle

Renato Moretti-Marques, Brazil

Meta Tag

Procedure Type Cervical cerclage

Route MIS-Robotic

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Cervical cerclage

robotic double-circlage

premature delivery prevention

trachelectomy

cervical cancer pregnancy

fertility-sparing technique

Renato Moretti-Marques