Robotic Abdominal Cerclage

If you’ve experienced recurrent pregnancy loss or been diagnosed with cervical insufficiency, specialized surgical care may help protect future pregnancies. At the Institute for Gynecology Minimally Invasive and Robotic Surgery in Englewood, New Jersey, Yitzhack Asulin, MD, FACS, FACOG, performs robotic abdominal cerclage using advanced minimally invasive technology. This precise approach provides strong cervical support while minimizing recovery time and surgical risk. Schedule your consultation by phone or online today to discuss your options.

What is a robotic abdominal cerclage?

A robotic abdominal cerclage is a minimally invasive surgical procedure designed to reinforce a weakened cervix. Cervical insufficiency occurs when the cervix shortens or opens too early during pregnancy, increasing the risk of miscarriage or preterm birth.

During a robotic abdominal cerclage, Dr. Asulin places a strong supportive band (suture) around the cervix at its upper portion through small abdominal incisions. Using robotic-assisted instruments allows for enhanced precision, improved visualization, and careful placement of the stitch to provide maximum support.

Unlike a traditional vaginal cerclage, which is placed through the vagina during pregnancy, an abdominal cerclage is typically placed before pregnancy or early in pregnancy and remains in place for future pregnancies if desired.

Who is a candidate for robotic abdominal cerclage?

Robotic abdominal cerclage may be recommended for women who:

• Have a history of second-trimester pregnancy loss
• Experienced failed vaginal cerclage in a prior pregnancy
• Have significant cervical shortening or anatomical changes
• Have undergone cervical surgery that weakened the cervix

Dr. Asulin carefully reviews your obstetric history, imaging, and prior procedures to determine whether robotic abdominal cerclage is the most appropriate option.

What are the benefits of robotic abdominal cerclage?

Using robotic technology offers several important advantages:

• Greater surgical precision
• Smaller incisions compared to open abdominal surgery
• Reduced blood loss
• Shorter hospital stay
• Faster recovery
• Lower postoperative discomfort

The enhanced 3D visualization and instrument control allow for accurate suture placement while minimizing trauma to surrounding structures such as the bladder and uterus.

What is recovery like after robotic abdominal cerclage?

Robotic abdominal cerclage is typically performed as a minimally invasive procedure, with most patients returning home within 24 hours. Light activity can often resume within a few days, and full recovery generally occurs within two to four weeks.

If placed prior to pregnancy, the cerclage remains in position to support future pregnancies. Delivery is typically performed by cesarean section to protect the stitch.

If you’ve experienced pregnancy loss or been told you have cervical insufficiency, compassionate, expert care can make a meaningful difference. Dr. Asulin combines advanced robotic surgical expertise with individualized support to help protect your reproductive future. Schedule a consultation by phone or online today.