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Case Reports
. 2024 May 13;13(2):123-125.
doi: 10.4103/gmit.gmit_108_23. eCollection 2024 Apr-Jun.

A Novel Technique of Laparoscopic Transabdominal Cerclage after a Mersilene Tape Erosion in a Prior Laparoscopic Radical Trachelectomy and Transvaginal Cerclage Patient

Jhanice Paredes  1   2 , Kuan-Gen Huang  1 , Chyi-Long Lee  1   3 , Gillian Patrick Gonzalez  1   4 , Mary Evangeline Mercado  1   5 , Zin Mar Lay  6
Affiliations
Case Reports

A Novel Technique of Laparoscopic Transabdominal Cerclage after a Mersilene Tape Erosion in a Prior Laparoscopic Radical Trachelectomy and Transvaginal Cerclage Patient

Jhanice Paredes et al. Gynecol Minim Invasive Ther. .

Abstract

A case of a 32-year-old patient who presented with vaginal bleeding 2 years after undergoing laparoscopic radical trachelectomy and vaginal cerclage was noted to have Mersilene tape erosion. Subsequent management includes the removal of displaced Mersilene tape and a repeat cerclage through a new technique of laparoscopic abdominal cerclage to avoid repeat tape erosion. The novel technique of laparoscopic abdominal cerclage to lower the incidence of preterm delivery among pregnant patients who underwent laparoscopic radical trachelectomy for early-stage cervical cancer is described.

Keywords: Laparoscopic abdominal cerclage; Mersilene tape erosion; novel technique; radical trachelectomy.

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Conflict of interest statement

This study was financially supported by Prof. Chyi-Long Lee, Editor-in-Chief of Gynecology and Minimally Invasive Therapy, had no role in the peer-review process or decision to publish this article. The other authors declared no conflicts of interest in writing this paper.

Figures

Figure 1
Figure 1
Mersilene Tape Erosion: (a) Mersilene tape erosion, (b) Removed Mersilene tape, (c) Patent internal OS after removal of vaginal cerclage
Figure 2
Figure 2
Laparoscopic abdominal cerclage: (a) Postoperative picture after laparoscopic abdominal cerclage (anterior view), (b) Postoperative Picture after laparoscopic abdominal cerclage (posterior view)
See this image and copyright information in PMC

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References

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