Related Experiment Video
Updated: Feb 8, 2026
03:43
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
6.5K
Laparoscopic transabdominal cerclage in pregnancy: A single centre experience
Alex Ades1, Mehrnoosh Aref-Adib2, Sneha Parghi2
1Department of Obstetrics and Gynaecology, Royal Women's Hospital, University of Melbourne, Melbourne, Victoria, Australia.
Summary
Laparoscopic transabdominal cerclage effectively prevents preterm birth in women with cervical insufficiency. This safe procedure resulted in 100% perinatal survival and no complications in a recent study.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Surgery
- Maternal-Fetal Medicine
Background:
- Cervical insufficiency poses a significant risk for preterm birth.
- Transabdominal cerclage is an option for women unsuitable for transvaginal cerclage.
- Evaluating laparoscopic transabdominal cerclage outcomes is crucial for managing high-risk pregnancies.
Purpose of the Study:
- To assess the safety and efficacy of laparoscopic transabdominal cerclage in pregnant women.
- To evaluate neonatal survival rates and gestational age at delivery.
- To determine surgical morbidity associated with the procedure.
Main Methods:
- Retrospective observational study.
- Inclusion of pregnant women with cervical insufficiency ineligible for transvaginal cerclage.
- Laparoscopic transabdominal cerclage insertion during pregnancy (2011-2017).
Main Results:
- 100% perinatal survival rate observed in 19 women.
- Average gestational age at delivery was 37.1 weeks.
- No surgical complications were reported; 16 infants delivered at or after 34 weeks gestation.
Conclusions:
- Laparoscopic transabdominal cerclage is a safe and effective intervention for women with cervical insufficiency and poor obstetric history.
- Successful implementation requires specialized surgical skills and careful patient selection.
- This procedure offers a viable option for reducing preterm birth in select high-risk populations.
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