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Uterus and Cervix

Uterus and Cervix

The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...

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Updated: Mar 24, 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.

James E Sumners¹, Spencer G Kuper, Todd L Foster

¹*Center for Prenatal Diagnosis †Department of Obstetrics and Gynecology, St Vincent Hospital-Indianapolis ‡Department of Research & Clinical Trials, St Vincent Hospital-Indianapolis, Indiana.

Clinical Obstetrics and Gynecology

|March 10, 2016

Summary

This summary is machine-generated.

Transabdominal cerclage, a surgical procedure for cervical insufficiency, has evolved over 50 years. It offers benefits in various patient situations and is likely underused despite its value.

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Area of Science:

Maternal-Fetal Medicine
Surgical Innovation

Background:

Transabdominal cerclage (TAC) was developed 50 years ago for cases of failed transvaginal cerclage.
The procedure's application and perceived risks have evolved significantly since its inception.

Purpose of the Study:

To review the historical development, indications, surgical techniques, and outcomes of transabdominal cerclage.
To assess the current understanding of TAC's risks and benefits.
To highlight the potential underutilization of this valuable surgical technique.

Main Methods:

Comprehensive literature review of transabdominal cerclage.
Analysis of historical data and contemporary case reports.
Evaluation of reported complications and patient outcomes.

Main Results:

TAC has a 50-year history, initially for patients with failed transvaginal cerclage.
The procedure's indications have expanded beyond initial definitions.
Evolving understanding suggests risks may be lower than previously thought.

Conclusions:

Transabdominal cerclage is a valuable surgical option for cervical insufficiency.
The procedure's applications have broadened, with potentially underestimated benefits.
TAC is likely underused and warrants broader consideration in appropriate clinical scenarios.