Cerclage is the surgical treatment of isthmo-cervical incompetence. It is defined by the American College of Obstetricians and Gynecologists (ACOG) as incompetence of the uterine cervix in the second trimester of pregnancy, in the absence of uterine contractions (ACOG, Obstet Gynecol 123, 372–9, 2014). This incompetence occurs in 0.5–1% of pregnancies (Lidegaard, Acta Obstet Gynecol Scand 73, 35–8, 1994, Brown, J Obstet Gynaecol Can 35, 1115–27, 2013).
Laparoscopy Cerclage Trachelectomy
This is a preview of subscription content, log in to check access.
Harger JH. Cerclage and cervical insufficiency: an evidence based analysis. Obstet Gynecol. 2002;100:1313–27.PubMedGoogle Scholar
Berson RC, Durfee RB. Transabdominal cerclage during pregnancy cervicouterine for treatment of cervical incompetency. Obstet Gynecol. 1965;25:145–55.Google Scholar
Cammarano CL, Herron MA, Parker JF. Validity of indications for transabdominal cerclage for cervical incompetence. Am J Obstet Gynecol. 1995;172:1871.CrossRefGoogle Scholar
Burger NB, Brölmann HAM, Einarsson JI, Langebrekke A, JAF H. Effectiveness of abdominal cerclage placed via laparotomy or laparoscopy: systematic review. J Minim Invasive Gynecol. 2011;18:696–704.CrossRefGoogle Scholar
Carter JF, Soper DE, Goetzl LM, Van Dorsten JP. Abdominal cerclage for the treatment of recurrent cervical insufficiency: laparoscopy or laparotomy? Am J Obstet Gynecol. 2009;201:111.e1–4.CrossRefGoogle Scholar
Tulandi T, Alghanaim N, Hakeem G, Tan X. Pre and post-concepcional abdominal cerclage by laparoscopy or laparotomy. J Minim Invasive Gynecol. 2014;21:987–93.CrossRefGoogle Scholar