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

Jhanice Paredes; Kuan-Gen Huang; Chyi-Long Lee; Gillian Patrick Gonzalez; Mary Evangeline Mercado; Zin Mar Lay

doi:10.4103/gmit.gmit_108_23

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

Gynecol Minim Invasive Ther. 2024 May 13;13(2):123-125. doi: 10.4103/gmit.gmit_108_23. eCollection 2024 Apr-Jun.

Authors

Jhanice Paredes^{1

2}, Kuan-Gen Huang¹, Chyi-Long Lee^{1

3}, Gillian Patrick Gonzalez^{1

4}, Mary Evangeline Mercado^{1

5}, Zin Mar Lay⁶

Affiliations

¹ Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
² Department of Obstetrics and Gynecology, Luis Hora Memorial Regional Hospital, Bauko, Mountain Province, Philippines.
³ School of Medicine, Chang Gung University, Taoyuan, Taiwan.
⁴ Department of Obstetrics and Gynecology, Batangas Medical Center, Batangas, Philippines.
⁵ Department of Obstetrics and Gynecology, NL Villa Memorial Medical Center, Batangas, Philippines.
⁶ Nyein Hospital, Mandalay, Myanmar.

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.

Publication types

Case Reports