Transabdominal cervicoisthmic cerclage: a review

A successful case of transabdominal cervicoisthmic cerclage is presented. The indications and surgical technique for this rarely reported treatment of incompetent cervix are described, and the pathophysiology of the condition is reviewed. The currently accepted treatment alternatives for incompetent cervix are presented and compared with the transabdominal approach. The existing reports on transabdominal cervicoisthmic cerclage are reviewed, and the morbidity of all reported cases is discussed. A scheme to assist in patient selection is suggested.