Robotic-assisted, ultrasound-guided abdominal cerclage during pregnancy: overcoming minimally invasive surgery limitations?

J Minim Invasive Gynecol. May-Jun 2013;20(3):398-400. doi: 10.1016/j.jmig.2013.01.001. Epub 2013 Mar 15.


Herein, we report robotic abdominal cerclage placement under ultrasound guidance. The da Vinci Si system (Intuitive Surgical, Sunnyvale, CA) allows a simultaneous display of the operative field and transvaginal ultrasound images. Additionally, the vaginal ultrasound probe assisted in the manipulation of the uterus to improve visualization without placing excessive pressure on the gravid uterus. Ultrasound guidance improves needle placement accuracy and reduces potential for injuries.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerclage, Cervical / methods*
  • Cervix Uteri / diagnostic imaging*
  • Female
  • Humans
  • Minimally Invasive Surgical Procedures / methods
  • Pregnancy
  • Robotics*
  • Ultrasonography, Interventional