Robotic Cerclage for Cervical insufficiency

Cervical insufficiency is a difficult condition to diagnose and can lead to preterm birth, miscarriage, or perinatal infant morbidity and mortality. We have demonstrated in this video Robotic abdomina cerclage to evaluate the safety and efficacy of robot-assisted abdominal cerclage during pregnancy. Laparoscopic abdominal cerclage during pregnancy has been shown to be advantageous over laparotomy when comparing success rates and recognizing the well-known benefits of minimally invasive surgery, such as decreased blood loss, shorter hospital stay, decreased pain, and faster recovery time. Robot-assisted abdominal cerclage is a relatively new minimally invasive technique that facilitates less invasive procedures when compared to the open approach, and it has the advantages of 3-dimensional visualization and endowristed instrumentation when compared to traditional laparoscopy. Since the da Vinci surgical system (Intuitive Surgical, Sunnyvale, California, USA) was approved by the FDA for gynecologic procedures in 2005, there have been only a few robotic abdominal cerclages performed; the first robotic cerclage in India was performed by us at World Laparoscopy Hospital was in 2010.