Related Experiment Video
Updated: May 18, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Feasibility and clinical effects of laparoscopic abdominal cerclage: an observational study
Mads Riiskjaer1, Olav B Petersen, Niels Uldbjerg
1Department of Obstetrics and Gynecology, Aarhus University Hospital, Skejby, Aarhus, Denmark. riiskjaer@dadlnet.dk
Objective:
To evaluate the effect of laparoscopic abdominal cerclage performed as an interval procedure in non-pregnant women at high risk of second trimester spontaneous abortion and early preterm birth.
Design:
Observational study.
Sample:
Fifty-two consecutive patients at high risk of preterm birth.
Setting:
Department of Obstetrics and Gynecology, Aarhus University Hospital.
Methods:
Patients were registered prospectively. Indications for surgery included classical cervical insufficiency, preterm premature rupture of membranes (PPROM) or two conizations/cervical amputation. Outcome of subsequent pregnancies was registered.
Main Outcome Measures:
Gestational age in subsequent pregnancies.
Results:
No operative or postoperative complications were observed. A total of 45 pregnancies were registered during the observation period. Among 36 pregnancies lasting beyond the 16th week of gestation, 30 women (83.3%) gave birth by cesarean section after 36 weeks of gestation and the overall mean gestational age was 37.4 weeks compared with a mean gestational age of 25.2 weeks of the pregnancies prior to the cerclage. The cesarean sections were uncomplicated in all but one patient, where a re-laparotomy was needed six hours later due to atonic postpartum hemorrhage without evident bleeding through the cervix.
Conclusion:
Laparoscopic abdominal cerclage is a feasible and safe procedure. Obstetrical outcomes are encouraging but prospective studies are needed to define the effectiveness of the laparoscopic cerclage compared with the traditional transvaginal approach.
