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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