Advancements in Laparoscopic Cerclage Surgery Insights from Dr B B Dash at WALS 2025 Conference скачать в хорошем качестве

Advancements in Laparoscopic Cerclage Surgery Insights from Dr B B Dash at WALS 2025 Conference

At the World Association of Laparoscopic Surgeons (WALS) 2025 Conference, esteemed gynecological surgeon Dr. B. B. Dash delivered an insightful presentation on Laparoscopic Cerclage Surgery, a revolutionary technique in managing cervical incompetence. His discussion provided an in-depth look at the indications, techniques, advantages, and future prospects of this minimally invasive approach to cervical cerclage. Understanding Laparoscopic Cerclage Surgery Laparoscopic cerclage is a minimally invasive technique used to reinforce the cervix in women with recurrent pregnancy loss due to cervical insufficiency. Unlike traditional transvaginal cerclage, laparoscopic cerclage allows for precise suture placement, reducing complications and improving pregnancy outcomes. Key Highlights from Dr. B. B. Dash’s Presentation 1. Indications for Laparoscopic Cerclage History of recurrent mid-trimester pregnancy loss Failed transvaginal cerclage procedures Congenital cervical anomalies Women undergoing assisted reproductive techniques (ART) with cervical incompetence 2. Surgical Technique and Innovations Dr. Dash elaborated on the step-by-step approach for laparoscopic cerclage, emphasizing: Preoperative assessment: Use of imaging techniques such as MRI and transvaginal ultrasound to evaluate cervical length and anatomy. Trocar placement and dissection: Precise port positioning to enhance visibility and maneuverability. Suture Placement: Use of non-absorbable polyester or polypropylene sutures at the level of the internal os, ensuring cervical reinforcement. Hemostasis and Closure: Application of minimal electrocautery to prevent tissue damage and ensure quick recovery. 3. Advantages of Laparoscopic Cerclage Over Traditional Methods Minimally invasive approach with smaller incisions and faster recovery. Higher success rates in preventing pregnancy loss compared to transvaginal cerclage. Better visualization of the cervix, allowing for precise placement of sutures. Lower risk of infection and postoperative complications. Early placement advantage: The procedure can be performed before pregnancy, eliminating the risks associated with an emergent second-trimester cerclage. Clinical Outcomes and Research Findings Dr. Dash presented clinical data showcasing improved pregnancy retention rates with laparoscopic cerclage. Key findings include: Success rates exceeding 85% in preventing preterm birth. Reduced miscarriage rates in high-risk patients with cervical insufficiency. Shorter hospital stays and quicker return to normal activities. Minimal postoperative pain and complications. Future Prospects and Innovations Dr. Dash also highlighted emerging advancements in laparoscopic cerclage, including: Robotic-assisted laparoscopic cerclage for enhanced precision and ergonomics. Integration of AI-based surgical navigation for optimized suture placement. Personalized patient selection protocols to improve outcomes in borderline cases. Conclusion The WAS 2025 Conference provided a platform to showcase the remarkable benefits of laparoscopic cerclage surgery in managing cervical incompetence. Dr. B. B. Dash’s presentation reinforced the importance of this technique in preventing pregnancy loss and improving maternal-fetal outcomes. As laparoscopic and robotic advancements continue, laparoscopic cerclage is poised to become the gold standard in cervical insufficiency management. For further updates on minimally invasive surgical techniques and research, stay connected with the World Association of Laparoscopic Surgeons (WALS).