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Updated: Mar 25, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Transabdominal cerclage: preconceptual versus first trimester insertion.

Feroza Dawood¹, Roy Gibb Farquharson²

¹Department of Obstetrics and Gynaecology, Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, United Kingdom.

European Journal of Obstetrics, Gynecology, and Reproductive Biology

|February 21, 2016

Summary

This summary is machine-generated.

Preconceptual transabdominal cerclage (TAC) offers better outcomes than first-trimester TAC for preventing mid-trimester loss and preterm birth. This approach also reduces surgical complications and pregnancy-related morbidity.

Keywords:

Pre-term labour Spontaneous mid-trimester losses Transabdominal cerclage Transvaginal cerclage

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Area of Science:

Maternal-Fetal Medicine
Surgical Obstetrics

Background:

Transabdominal cerclage (TAC) is a critical intervention for preventing recurrent pregnancy loss, particularly after transvaginal cerclage failure.
TAC can be performed either preconceptually or during the first trimester of pregnancy.

Purpose of the Study:

To compare the efficacy and safety of preconceptual transabdominal cerclage (PC-TAC) versus first-trimester transabdominal cerclage (T1-TAC).
To evaluate differences in surgical and pregnancy-related morbidity and subsequent pregnancy outcomes between PC-TAC and T1-TAC.

Main Methods:

A 22-year retrospective and prospective cohort study involving 161 women with a history of mid-trimester loss and failed transvaginal cerclage.
Participants were divided into preconceptual (PC) TAC and first-trimester (T1) TAC groups.
Inclusion criteria included screening for antiphospholipid syndrome and bacterial vaginosis.

Main Results:

Preconceptual TAC demonstrated higher success rates for pregnancies >24 weeks (97% vs. 93%) and >34 weeks (90% vs. 74%).
The PC-TAC group experienced significantly fewer emergency cesarean sections for preterm delivery (12% vs. 36%).
No surgical complications were reported in the PC-TAC group, compared to 5% in the T1-TAC group, with significantly less hemorrhage (>500ml) in the PC-TAC group (50% in T1-TAC).

Conclusions:

Preconceptual transabdominal cerclage is more effective in preventing recurrent mid-trimester loss and preterm labor compared to first-trimester TAC.
PC-TAC is associated with reduced surgical and pregnancy-related morbidity.