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Updated: Jun 2, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Transvaginal cervicoisthmic cerclage using a polypropylene sling: pregnancy outcome
Xavier Deffieux1, Erika Faivre, Marie-Victoire Senat
1AP-HP, Department of Obstetrics, Gynecology and Reproductive Medicine, Antoine Béclère Hospital, Clamart, France. xavier.deffieux@abc.aphp.fr
Aim:
To report pregnancy outcome following prophylactic transvaginal cervicoisthmic cerclage using a polypropylene sling in a population of high-risk pregnant women.
Materials And Methods:
A retrospective study with a continuous series of 57 women presenting with prior failure of McDonald cerclage (n = 47) and/or absent portio-vaginalis of the cervix (n = 10).
Results:
Cervicoisthmic cerclage was performed between 12 and 16 weeks of gestation (median 14 weeks' gestation). No intraoperative complication occurred. Preterm labor treated with parenteral tocolysis occurred in 14 women (24%). Cesarean delivery was systematically performed. Median gestational age at delivery was 37.2 weeks' gestation (interquartile range: 36.5-38.0). Overall neonatal survival rate was 94%.
Conclusion:
Transvaginal cervicoisthmic cerclage using a polypropylene sling may be considered as an effective alternative to the transabdominal cervicoisthmic cerclage in women presenting with previous cerclage failure.
