Please use this identifier to cite or link to this item:
Title: Laparoscopic transabdominal cerclage: outcomes of 121 pregnancies.
Epworth Authors: Ades, Alex
Parghi, Sneha
Aref-Adib, Mehrnoosh
Keywords: Pre‐Pregnancy Laparoscopic Transabdominal Cerclage
Cervical Insufficiency
Preterm Birth
Cervical Cerclage
Pre‐Term Labour
Mid‐Trimester Pregnancy Loss
Neonatal Survival
Surgical Morbidity
Agora Centre for Women's Health, Epworth HealthCare VIC, Australia
Issue Date: Dec-2018
Publisher: Blackwell Publishing
Citation: Aust N Z J Obstet Gynaecol. 2018 Dec;58(6):606-611
Abstract: Background: Cervical insufficiency is a significant cause of morbidity and mortality. Cervical cerclage is one option in the management of cervical insufficiency. Aim: To evaluate obstetric outcomes following insertion of a pre‐pregnancy laparoscopic transabdominal cerclage in women at high risk for pre‐term labour and/or mid‐trimester pregnancy loss. Methods: A prospective observational study of consecutive women who underwent laparoscopic transabdominal cerclage from 2007 to 2017. Eligible women had a diagnosis of cervical insufficiency based on previous obstetric history and/or a short or absent cervix and were considered not suitable for a transvaginal cerclage. The primary outcome was neonatal survival and the secondary outcome was delivery of an infant at ≥34 weeks gestation. Surgical morbidity and complications were also evaluated. Results: During the study period, 225 women underwent laparoscopic transabdominal cerclage. We present the outcomes of 121 pregnancies resulting in 125 babies. The perinatal survival rate of viable pregnancies was 98.5% with a mean gestational age at delivery of 35.2 weeks; 79.7% of babies were delivered at ≥34.0 weeks gestation. Conclusion: Laparoscopic transabdominal cerclage is a safe and effective procedure resulting in favourable obstetric outcomes in women with a poor obstetric history. For optimal success the procedure requires the correct surgical expertise, equipment and appropriate patient selection.
DOI: doi: 10.1111/ajo.12774
PubMed URL:
ISSN: 0004-8666
Journal Title: The Australian & New Zealand journal of Obstetrics & Gynaecology
Type: Journal Article
Affiliated Organisations: Department of Obstetrics and Gynaecology, Royal Women's Hospital, University of Melbourne, Australia
Type of Clinical Study or Trial: Observational Study
Appears in Collections:Women's and Children's

Files in This Item:
There are no files associated with this item.

Items in Epworth are protected by copyright, with all rights reserved, unless otherwise indicated.