DOI: 10.21276/sasjs.2019.5.3.9

Pages: 194-199

Introduction: Cervical insufficiency complicates about 0.1-1% of all pregnancies. Cervical incompetence; as it is called may lead to repetitive pregnancy losses and cause physical and emotional turmoil. Aim and objectives: To emphasize the steps and benefits of laparoscopic Trans abdominalcerclage in cases of recurrent pregnancy loss and to evaluate intra operative and long-term pregnancy outcomes after laparoscopic cervical cerclage performed either as an interval procedure or during early pregnancy. Material and methods: We studied 10 cases of recurrent pregnancy loss with history of failure of vaginal cerclage in previous pregnancies and offered laparascopictransabdominal cerclage-6 interval and 4 during pregnancy. Results: 9 Pateints out of 10 who were offered laparascopic transabdominal cerclage had successful pregnancy outcomes. Conclusion: The transabdominalcerclage procedure aims to strengthen the cervix by placing a suture at the level of the internal os. Laparoscopic cerclage has the general advantages of minimal access surgery, such as avoiding a large abdominal incision, short hospital stay and quick recovery.