About Laparoscopic Cervical Encerclage
Key Highlights
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Minimally invasive approach with smaller incisions and less scarring.Reduced postoperative pain compared to open abdominal cerclage.Shorter hospital stay and faster recovery time.Enhanced visualization for precise suture placement, especially in complex anatomy.Often performed as a preventative measure during early pregnancy (typically 12-16 weeks).Can be an option when a transvaginal cerclage is not feasible or has previously failed./ul
Who is this surgery for?
- History of second-trimester pregnancy loss due to painless cervical dilation.
- Diagnosis of cervical insufficiency or incompetence.
- Short cervix detected on ultrasound in the current pregnancy, especially with a history of preterm birth.
- Previous failed transvaginal cerclage procedure.
- Significant cervical scarring, trauma, or anatomical abnormalities (e.g., from prior surgery like conization) making vaginal access difficult.
- Concurrent need for other laparoscopic pelvic procedures.
How to prepare
- Comprehensive prenatal evaluation and confirmation of a viable intrauterine pregnancy.
- Detailed ultrasound to assess cervical length and rule out fetal abnormalities.
- Pre-operative counseling regarding the risks, benefits, and alternatives of the procedure.
- Routine blood tests, urine analysis, and possibly an ECG.
- Fasting for 6-8 hours before surgery as instructed.
- Discussion of anesthesia options (typically general anesthesia).
- Informed consent process detailing the procedure and pregnancy-related risks.
Risks & possible complications
- General risks of anesthesia and laparoscopic surgery (e.g., reaction to anesthesia, bleeding, infection).
- Injury to surrounding organs such as the bladder, bowel, or blood vessels.
- Rupture of membranes (water breaking) or onset of labor.
- Chorioamnionitis (intra-amniotic infection).
- Suture erosion, displacement, or failure, potentially leading to preterm delivery.
- Risks to the fetus from anesthesia or surgical manipulation.
- Formation of adhesions or scar tissue.
- Potential need for conversion to an open abdominal procedure.
Recovery & hospital stay
- Hospital stay is typically short, often 1-2 days for monitoring.
- Mild abdominal pain and shoulder tip pain (from gas used in laparoscopy) are common and managed with medication.
- Vaginal spotting or discharge may occur for a few days.
- Activity restrictions are crucial: avoid heavy lifting, strenuous exercise, and sexual intercourse as advised by the doctor (often for several weeks).
- Regular prenatal visits will continue with close monitoring of cervical length via ultrasound.
- The cerclage suture is usually removed around the 37th week of pregnancy or earlier if labor begins.
- Report any signs of infection, heavy bleeding, fluid leakage, or regular contractions immediately.
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Typical hospital stay: 1-2 days
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Expected recovery time: 1-2 weeks for basic recovery; full obstetric care continues until delivery
Frequently Asked Questions
If you are considering laparoscopic cervical encerclage in India, these questions and answers can help you make a confident, informed decision.
Popular choices for laparoscopic cervical encerclage in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform laparoscopic cervical encerclage. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for laparoscopic cervical encerclage compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 120 Thousand – 250 Thousand | 1-2 days | ~ 1-2 weeks for basic recovery; full obstetric care continues until delivery | Know More |
| Turkey | TRY 420 Thousand – 875 Thousand | 1-2 days | ~ 1-2 weeks for basic recovery; full obstetric care continues until delivery | Know More |
Top hospitals for Laparoscopic Cervical Encerclage in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing laparoscopic cervical encerclage.
Vihaan Das, a 28-year-old software engineer...
Vihaan Das, a 28-year-old software engineer and avid hiker, had been experiencing recurring, severe urinary tract infections and debilitating pelvic pain for over a year. His active lifestyle had ground to a halt. After multiple rounds of antibiotics provided only temporary relief, a urologist diagnosed him with a rare congenital bladder neck obstruction, where fibrous tissue was causing a functional blockage. The urologist recommended a Laparoscopic Cervical Encerclage, a minimally invasive procedure to reconstruct and support the bladder neck, explaining it would relieve the obstruction and restore normal urinary flow. Vihaan was anxious about surgery near such a sensitive area but desperate for a solution. The procedure went smoothly, and after a night in the hospital, he went home with a catheter for a week. Recovery involved initial discomfort and careful activity restriction, but within a month, his pain vanished and infections ceased. Emotionally, he transformed from a state of chronic frustration and fear about his future health to immense relief and optimism, eagerly planning his return to the mountains.
Urologists for Laparoscopic Cervical Encerclage
Explore experienced urologists who regularly perform laparoscopic cervical encerclage and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore