Related Experiment Video
Updated: Jul 6, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Laparoscopic transabdominal cervico-isthmic cerclage: a minimally invasive approach
Geoffrey D Reid1, Hannah J Wills, Anshumala Shukla
1Liverpool Hospital, Department of Women's and Child Health, Liverpool, Sydney, New South Wales, Australia. gdr@sgeg.info
Background:
While the traditional approach to management of cervical insufficiency has been the insertion of a transvaginal cerclage during pregnancy, a transabdominal cervico-isthmic suture is indicated in certain patients. This procedure is traditionally performed via laparotomy. Laparoscopic transabdominal cervico-isthmic cerclage (LTCC) placement, however, confers the benefit of the low morbidity associated with laparoscopy.
Aims:
To describe the technique and outcomes of LTCC in three cases.
Methods:
LTCC was performed using Mersilene tape at the level of the internal cervical os in the prepregnancy period in three patients: one with previous cervical amputation and two with previous failed cervical cerclage. Procedures were performed at a tertiary level endoscopic unit, Sydney, Australia.
Results:
The laparoscopic approach enabled placement of a suture with no morbidity, and rapid patient recovery in these cases.
Conclusions:
Laparoscopic cervical cerclage proved technically feasible and safe for a surgeon trained in laparoscopic suturing methods.
