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Related Experiment Video

Updated: Jun 26, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Pre-pregnancy transabdominal cerclage.

Lea Langhoff Thuesen¹, Birgitte Rode Diness, Jens Langhoff-Roos

¹Department of Obstetrics and Gynecology, Rigshospitalet, University Hospital of Copenhagen, Denmark. lea@thuesen.com

Acta Obstetricia Et Gynecologica Scandinavica

|January 28, 2009

Summary

Pre-pregnancy transabdominal cerclage (TAC) offers excellent outcomes for women with prior second-trimester loss. This procedure demonstrates a 100% fetal salvage rate with minimal complications, making it a viable option for preventing recurrent pregnancy loss.

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Published on: October 25, 2024

Area of Science:

Maternal-Fetal Medicine
Surgical Obstetrics
Reproductive Medicine

Background:

Recurrent second-trimester pregnancy loss is a significant concern.
Cervical incompetence is a common cause of second-trimester loss.
Transabdominal cerclage (TAC) is a surgical option for managing cervical insufficiency.

Purpose of the Study:

To evaluate the efficacy and safety of pre-pregnancy transabdominal cerclage (TAC) in women with a history of second-trimester deliveries.
To assess the fetal salvage rate and pregnancy outcomes following TAC.
To determine the complication rate associated with pre-pregnancy TAC.

Main Methods:

A consecutive series of 45 women with previous second-trimester deliveries underwent pre-pregnancy TAC.
The study followed 36 women through 50 pregnancies between 1999 and 2008.
Outcomes including abortion rates, delivery timing, and complications were recorded.

Main Results:

In 37 completed pregnancies, a 100% fetal salvage rate was achieved.
Cesarean section was performed after 34 weeks in 97% of pregnancies (mean 36+5 weeks).
No serious complications were reported, with one hysterectomy occurring post-cesarean section.

Conclusions:

Pre-pregnancy TAC is a safe procedure with a high success rate for preventing second-trimester loss.
The method is associated with excellent fetal salvage and minimal maternal complications.
TAC should be considered for women experiencing fetal loss when cervical incompetence is suspected.