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Related Experiment Video

Updated: May 19, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Preconceptional laparoscopic abdominal cerclage: a multicenter cohort study.

Nicole B Burger1, Jon I Einarsson, Henricus A M Brölmann

  • 1Department of Obstetrics and Gynecology, VU University Medical Center, Amsterdam, the Netherlands. n.burger@vumc.nl

American Journal of Obstetrics and Gynecology
|August 28, 2012
PubMed
Summary

Preconceptional laparoscopic abdominal cerclage is effective in preventing recurrent preterm birth. This procedure resulted in 71.4% of patients delivering at ≥ 34 weeks gestation, with a 90% fetal survival rate.

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Area of Science:

  • Reproductive Medicine
  • Maternal-Fetal Medicine
  • Minimally Invasive Surgery

Background:

  • Recurrent preterm birth due to cervical insufficiency poses significant risks to fetal survival.
  • Previous treatments for cervical insufficiency have varying success rates.
  • Laparoscopic abdominal cerclage offers a minimally invasive surgical approach.

Purpose of the Study:

  • To evaluate the effectiveness of laparoscopic abdominal cerclage in preventing recurrent preterm birth.
  • To assess perinatal outcomes following preconceptional laparoscopic abdominal cerclage.
  • To analyze surgical and pregnancy outcomes in women with a history of cervical insufficiency.

Main Methods:

  • A multicenter retrospective cohort study involving 66 patients who underwent preconceptional laparoscopic abdominal cerclage.

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  • Inclusion criteria: history of second/third trimester fetal loss or delivery <34 weeks due to cervical insufficiency.
  • Primary outcome: delivery at ≥ 34 weeks gestation with neonatal survival; secondary outcomes: surgical/pregnancy complications, patient satisfaction.
  • Main Results:

    • Excellent surgical outcomes with only 3 minor complications among 66 patients.
    • In 35 evaluated pregnancies, 71.4% resulted in delivery at ≥ 34 weeks gestation.
    • Overall fetal survival rate was 90.0%, with 8.6% experiencing second-trimester fetal loss.

    Conclusions:

    • Preconceptional laparoscopic abdominal cerclage demonstrates favorable perinatal outcomes.
    • The procedure is effective in improving fetal survival rates for patients with a history of recurrent preterm birth.
    • Laparoscopic abdominal cerclage is a promising option for managing cervical insufficiency.