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Related Experiment Video

Updated: Mar 22, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Laparoscopic transabdominal cerclage: new approach.

Mohamed F Shaltout1, Ahmed M Maged1, Moutaz M Elsherbini1

  • 1a Obstetrics and Gynecology Department, Kasr AlAiny Hospital, Cairo University , Cairo , Egypt.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|April 22, 2016
PubMed
Summary

This study shows laparoscopic cerclage is a safe and effective treatment for women who failed previous vaginal cerclage procedures. It offers a viable alternative for preventing preterm birth and recurrent pregnancy loss.

Keywords:
Incompetent cervixlaparoscopytransabdominal cerclage

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Area of Science:

  • Reproductive Medicine
  • Minimally Invasive Surgery
  • Maternal-Fetal Medicine

Background:

  • Recurrent pregnancy loss and preterm birth pose significant challenges.
  • Vaginal cerclage is a common intervention but can fail or be impossible in certain cases.
  • Alternative cerclage methods are needed for women with prior surgical interventions or anatomical limitations.

Purpose of the Study:

  • To assess the efficacy and safety of a novel laparoscopic cerclage technique.
  • To evaluate outcomes in patients with a history of failed vaginal cerclage or contraindications to its placement.

Main Methods:

  • A prospective study involving fifteen women undergoing laparoscopic cerclage.
  • Inclusion criteria: history of ≥2 second-trimester abortions or preterm labor, and failed/impossible vaginal cerclage.
  • The new laparoscopic technique was employed for cerclage placement.

Main Results:

  • Successful pregnancy outcomes were observed in most participants, with 12 vaginal deliveries after cerclage removal.
  • No intraoperative or postoperative complications such as hemorrhage or peritonitis were reported.
  • The laparoscopic procedure and cerclage removal were technically feasible, with only one minor difficulty during removal.

Conclusions:

  • Laparoscopic cerclage represents a safe and effective treatment option for women experiencing failure with traditional vaginal cerclage.
  • This minimally invasive approach provides a valuable alternative for managing cervical insufficiency and preventing preterm birth.