Da Vinci-assisted abdominal cerclage

Abstract

Objective: To report the first placement of an abdominal cervicoisthmic cerclage using the da Vinci robot.

Design: Case report.

Setting: Tertiary-care hospital.

Patient(s): A 39-year-old female with a history of cervical insufficiency who required a cerclage and was not a candidate for transvaginal cerclage placement.

Intervention(s): Abdominal cervicoisthmic cerclage placement using the da Vinci robot.

Main outcome measure(s): Ability to safely and successfully place an abdominal cerclage using the da Vinci robot.

Result(s): Abdominal cerclage was successfully placed using the da Vinci robot. The patient had minimal blood loss and was discharged to home on the same day as surgery.

Conclusion(s): Da Vinci robot-assisted abdominal cerclage placement is an innovative application of robotic surgery and may alter the standard of care for women who require this surgery.