Laparoscopic transabdominal cerclage in pregnancy: A single centre experience.

Abstract

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