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Updated: May 13, 2026
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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Laparoscopic placement of cervical cerclage
Olga A Tusheva1, Sarah L Cohen, Thomas F McElrath
1Division of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, MA.
Reviews in Obstetrics & Gynecology
|March 14, 2013
Summary
Cervical shortening indicates intrauterine inflammation and preterm birth risk. Laparoscopic cervical cerclage may offer better surgical outcomes and recovery compared to transabdominal methods.
Area of Science:
- Reproductive Medicine
- Maternal-Fetal Medicine
- Surgical Innovation
Background:
- Cervical shortening is a significant marker for intrauterine inflammation.
- It is strongly associated with spontaneous preterm birth.
- Effective therapies include progesterone, pessary, and cerclage.
Purpose of the Study:
- To review the effectiveness of various therapies for cervical shortening.
- To compare different approaches for cervical cerclage placement.
- To evaluate the laparoscopic transabdominal approach for cerclage.
Main Methods:
- Review of existing literature on cervical shortening and preterm birth therapies.
- Analysis of transvaginal, open transabdominal, and laparoscopic transabdominal cerclage approaches.
- Comparison of surgical outcomes, cost, and postoperative morbidity.
Main Results:
- Various therapies are effective in specific clinical scenarios.
- Cervical cerclage can be performed using different surgical methods.
- The laparoscopic approach may present advantages over the transabdominal method.
Conclusions:
- Cervical cerclage is a key intervention for managing cervical shortening.
- The laparoscopic approach warrants consideration for its potential benefits.
- Further research may elucidate optimal surgical techniques for cerclage.
