Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Pregnancy Outcomes of 512 Laparoscopic Transabdominal Cerclages: The Australian Cohort.

Journal of minimally invasive gynecology·2025

Same author

Experiences of cohabiting partners of women diagnosed with cancer during pregnancy: a qualitative study.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer·2024

Same author

An audit of the maternal medicine clinic: Cancer and pregnancy.

The Australian & New Zealand journal of obstetrics & gynaecology·2024

Same author

Three trajectories of gestational weight gain identified in an Australian twin study.

European journal of obstetrics, gynecology, and reproductive biology·2022

Same author

Experiences of health professionals treating women diagnosed with cancer during pregnancy and proposals for service improvement.

Breast (Edinburgh, Scotland)·2022

Same author

Gestational weight gain is associated with childhood height, weight and BMI in the Peri/Postnatal Epigenetic Twins Study.

Journal of developmental origins of health and disease·2022

Search research articles

Related Experiment Video

Updated: Apr 13, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Transabdominal Cervical Cerclage: Laparoscopy Versus Laparotomy.

Alex Ades¹, Kim C Dobromilsky², King T Cheung³

¹Department of Obstetrics and Gynaecology, Royal Women's Hospital, and Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Australia; AGORA Centre for Women's Health Epworth Hospital, Richmond, Australia.

Journal of Minimally Invasive Gynecology

|May 3, 2015

Summary

Transabdominal cerclage (TAC) via laparoscopy is as effective as the laparotomy approach for treating cervical incompetence, with similar obstetric outcomes and low complication rates. Both methods offer a high fetal survival rate, making the choice dependent on surgical expertise.

Keywords:

Abdominal cerclage Cervical incompetence Laparoscopy Laparotomy

More Related Videos

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Published on: October 25, 2024

Related Experiment Videos

Last Updated: Apr 13, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Published on: October 25, 2024

Area of Science:

Reproductive Medicine
Minimally Invasive Surgery
Maternal-Fetal Medicine

Background:

Cervical incompetence poses a significant risk to pregnancy, often necessitating cerclage procedures.
Transabdominal cerclage (TAC) is an effective treatment for cervical incompetence, particularly in cases with previous failed transvaginal cerclages.
Surgical approaches for TAC include laparotomy and laparoscopy, with varying implications for patient morbidity and recovery.

Purpose of the Study:

To compare the obstetric outcomes, surgical morbidity, and patient characteristics of transabdominal cerclage (TAC) performed via laparotomy versus laparoscopy.
To evaluate the safety and efficacy of laparoscopic TAC in managing cervical incompetence.
To assess the pre-cerclage history and pregnancy outcomes in women undergoing TAC through different surgical routes.

Main Methods:

A prospective cohort study was conducted at a university hospital.
51 patients underwent laparoscopic TAC (2007-2014) and were compared to 18 historical controls who had open laparotomy TAC (1995-2011).
Inclusion criteria were a diagnosis of cervical incompetence based on obstetric history or a short/absent cervix.

Main Results:

Fetal survival rates post-cerclage were high: 100% for laparotomy (30 pregnancies) and 98% for laparoscopy (54 pregnancies).
No perioperative pregnancy losses occurred. Median gestational age at delivery was similar (36.9 weeks vs. 37.0 weeks).
Surgical complications were significantly lower in the laparoscopy group (2%) compared to the laparotomy group (22%).

Conclusions:

Laparoscopic transabdominal cerclage (TAC) is a safe and effective alternative to the traditional laparotomy approach.
Both methods demonstrate excellent fetal survival rates and are not associated with serious long-term complications.
The choice between laparoscopic and open TAC should consider surgical expertise and patient-specific factors.