Efficacy of laparoscopic and trans-abdominal cerclage (TAC) in patients with cervical insufficiency: A systematic review and meta-analysis

Marchand, Greg; Masoud, Ahmed Taher; Azadi, Ali; Govindan, Malini; Ware, Kelly; King, Alexa; Ruther, Stacy; Brazil, Giovanna; Ulibarri, Hollie; Parise, Julia; Arroyo, Amanda; Coriell, Catherine; Goetz, Sydnee; Cook, Chelsea; Sainz, Katelyn

doi:10.1016/j.ejogrb.2022.01.002

Cited by 9 publications

(18 citation statements)

References 60 publications

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“…15,16 Fetal death within 2 weeks of surgery has been quantified as <2% by Sumners et al, 15 which correlates with our single case. The systematic review and meta-analysis by Marchand et al 14 found that both laparoscopic and open TAC are effective in prolonging gestational age, but neither is able to prevent all preterm deliveries. Dual pathology such as maternal disease or uteroplacental malperfusion is common.…”

Section: Discussionmentioning

confidence: 99%

“…Transabdominal cerclage is a last resort intervention for recurrent mid‐trimester loss where vaginal cerclage has failed or is not possible. 6 , 14 , 16 These highly selected women are estimated at 13% of cervical insufficiency cases, 17 and are the most difficult in which to achieve a successful pregnancy. In our cohort, 41 (44%) of women had not achieved a viable pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…The systematic review and meta‐analysis by Marchand et al, 14 noted that a major limitation of their review was a lack of studies. The present large “in context” study helps to address the data deficit.…”

Section: Discussionmentioning

confidence: 99%

“…Internationally, pregnancy outcomes and complications 11 have been described in a few small and moderately sized studies from high‐income countries, 6 , 10 , 11 , 12 and collaborations are reflected in systematic reviews and meta‐analyses. 13 , 14 However, detailed evidence exclusively from low‐ to middle‐income countries (LMICs) is needed.…”

Section: Introductionmentioning

confidence: 99%

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Transabdominal cerclage during pregnancy: A retrospective single operator series over a quarter century

Hall

Vyver

2022

Intl J Gynecology & Obste

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Objective To describe the pregnancy outcomes and complications observed in a series of cases of transabdominal cerclage (TAC), which is reserved for highly selected women with recurrent mid‐trimester pregnancy loss, due to cervical insufficiency. Methods A retrospective audit covering 25 years (January 1, 1997 to December 31, 2021) was performed at the Obstetric Special Care division, Tygerberg Academic Hospital in Cape Town, South Africa. All 118 pregnancies from 94 procedures, operated and managed by the principal author were included for descriptive analysis. Results Eighty‐four (91.3%) of the 92 first pregnancies after first insertion had successful outcomes. All second and third pregnancies (24/24; 100%) were successful. Eight pregnancies did not achieve viability, two women (2/8) did however achieve a successful pregnancy after a subsequent repeat TAC procedure. For the viable pregnancies (110/118), the median gestational age at delivery was 37 weeks (range 28–39 weeks). The median intraoperative blood loss during cerclage insertion was 100 ml (range 25–750 ml). Conclusion In experienced hands, TAC during pregnancy is a safe and effective operation, when other less invasive procedures have failed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transabdominal cerclage during pregnancy: A retrospective single operator series over a quarter century

Hall

Vyver

2022

Intl J Gynecology & Obste

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“…Ein in 2022 publizierter systematischer Review und Metaanalyse mit 43 Studien zeigte, dass durch eine abdominale Zerklage per Laparoskopie ein Zugewinn von im Mittel 14,86 SSW und per Laparotomie von 12,79 SSW beobachtet werden konnte 63 .…”

Section: Leitlinieunclassified

Prevention and Therapy of Preterm Birth. Guideline of the DGGG, OEGGG and SGGG (S2k-Level, AWMF Registry Number 015/025, September 2022) – Part 1 with Recommendations on the Epidemiology, Etiology, Prediction, Primary and Secondary Prevention of Preterm Birth

Berger

Abele

Bahlmann

et al. 2023

Geburtshilfe Frauenheilkd

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Aim This revised guideline was coordinated by the German Society for Gynecology and Obstetrics (DGGG), the Austrian Society for Gynecology and Obstetrics (OEGGG) and the Swiss Society for Gynecology and Obstetrics (SGGG). It aims to improve the prediction, prevention, and management of preterm birth, based on evidence from the current literature, the experience of members of the guidelines commission, and the viewpoint of self-help organizations. Methods The members of the contributing professional societies and organizations developed recommendations and statements based on international literature. The recommendations and statements were presented and adopted using a formal process (structured consensus conferences with neutral moderation, written Delphi vote). Recommendations Part 1 of this short version of the guideline presents statements and recommendations on the epidemiology, etiology, prediction, and primary and secondary prevention of preterm birth.

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The effectiveness of transabdominal cerclage placement via laparoscopy or laparotomy: a systematic review and meta-analysis

Hulshoff¹,

Hofstede²,

IntHout³

et al. 2023

American Journal of Obstetrics & Gynecology MFM

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Efficacy of laparoscopic and trans-abdominal cerclage (TAC) in patients with cervical insufficiency: A systematic review and meta-analysis

Cited by 9 publications

References 60 publications

Transabdominal cerclage during pregnancy: A retrospective single operator series over a quarter century

Transabdominal cerclage during pregnancy: A retrospective single operator series over a quarter century

Prevention and Therapy of Preterm Birth. Guideline of the DGGG, OEGGG and SGGG (S2k-Level, AWMF Registry Number 015/025, September 2022) – Part 1 with Recommendations on the Epidemiology, Etiology, Prediction, Primary and Secondary Prevention of Preterm Birth

The effectiveness of transabdominal cerclage placement via laparoscopy or laparotomy: a systematic review and meta-analysis

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