Report of a rare case of successful trans-Abdominal cerclage

Abstract

Introduction: Cervical failure is one of the causes of early childbirth and neonatal death in the second and third trimesters of pregnancy. Most women with cervical failure can be effectively treated with cervical cerclage. Trans-abdominal cerclage is an effective and efficient method in patients with short cervix, history of preterm labor and history of unsuccessful transvaginal cerclage. In this study, a rare case of successful trans-abdominal cerclage is reported. Case presentation: The patient was a 43-year-old woman with history of cesarean section, curettage and one unsuccessful transvaginal cerclage. The patient underwent laparoscopic trans-abdominal cerclage surgery at 12th week of pregnancy due to the probability of preterm delivery, short cervical length and failure of transvaginal cerclage. The patient was subjected to cesarean section at 34th weeks of gestation due to uterine contractions and a healthy baby was born. Conclusion: Since trans-abdominal cerclage has a tremendous effect on patients with a history of preterm labor, and the patients' satisfaction with this method is very high, this surgical technique is strongly supported.

Keywords

• cerclage
• cervical insufficiency
• trans-abdominal cerclage
• transvaginal cerclage