Related Experiment Video
Updated: Aug 13, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Transabdominal cerclage: a laparoscopic approach
K B Lesser1, J M Childers, E A Surwit
1Department of Obstetrics and Gynecology, University of Arizona Health Sciences Center, Tucson 85724, USA. klesser@aruba.ccit.arizona.edu
Background:
The placement of a transabdominal cervical cerclage has been regarded as considerably more morbid than a transvaginal cerclage, in part due to the need for two laparotomies. We describe a technique for the laparoscopic placement and removal of a transabdominal cerclage.
Cases:
Two cases of women with insufficient cervical tissue to place a transvaginal cerclage were managed with a transabdominal cerclage. In one case, the cerclage was placed laparoscopically; in the other, the band was removed, facilitating uterine evacuation following the diagnosis of a missed abortion. In both cases a laparotomy was avoided.
Conclusion:
Laparoscopic placement and removal of a transabdominal cerclage are promising options in the treatment of an incompetent cervix.
