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Updated: Feb 8, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
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.
Background:
Transabdominal cerclage can reduce the risk of preterm birth in women with cervical insufficiency.
Aims:
This study evaluated outcomes following insertion of a laparoscopic transabdominal cerclage in pregnant women.
Materials And Methods:
A retrospective observational study.
Patients:
pregnant women who underwent laparoscopic transabdominal cerclage from 2011 to 2017. Eligible women had cervical insufficiency and were not suitable for a transvaginal cerclage.
Intervention:
the insertion of a laparoscopic transabdominal cerclage in the pregnancy.
Measurements:
neonatal survival, delivery of an infant at ≥34 weeks gestation and surgical morbidity were evaluated.
Results:
Of 19 women who underwent laparoscopic transabdominal cerclage in pregnancy, at 6-11 weeks gestation, the perinatal survival rate was 100%. There were no complications. The average gestational age at delivery was 37.1 weeks. Sixteen women delivered after 34 weeks.
Conclusions:
Laparoscopic transabdominal cerclage is a safe and effective procedure in women with poor obstetric histories. It requires the correct skill, expertise and patient selection.
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