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 Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for laparoscopic cervical encerclage in Turkey include Liv Hospital Bahçeşehir, Istinye Üniversitesi Hastanesi Liv, Liv Hospital Ankara, 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 | USD 1,305 – USD 2,719 | 1-2 days | ~ 1-2 weeks for basic recovery; full obstetric care continues until delivery | Know More |
| Turkey | USD 9,663 – USD 20,131 | 1-2 days | ~ 1-2 weeks for basic recovery; full obstetric care continues until delivery | Know More |
Top hospitals for Laparoscopic Cervical Encerclage in Turkey
These partner hospitals in Turkey have dedicated urology teams and experience managing patients undergoing laparoscopic cervical encerclage.
My dad was admitted to MGM...
My dad was admitted to MGM with a bad fever and we were all worried. Dr. Ramya Shri was the one who really talked to us. She didn't just give medical updates; she explained things in a way we could understand, told us what to watch for at home, and actually listened to our concerns. It made a stressful time much easier to handle.
Urologists for Laparoscopic Cervical Encerclage
Explore experienced urologists who regularly perform laparoscopic cervical encerclage and provide pre- and post-operative care in Turkey.
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