Transabdominal Cerclage: Different Indications, Optimal Outcome. Two Case Reports

Abstract

Transabdominal placement of a cerclage at the cervicoisthmic junction appears to be a safe and effective procedure for reducing the incidence of spontaneous pregnancy loss in selected patients with cervical insufficiency, we reported a case series of two woman with different indications for abdominal cerclage. Case 1 is a 25-years-old woman gravida 2 para 0 abortus 1 known case of hypoplastic upper vagina who had 2 vaginal repair (vaginostomy) and had abdominal cerclage for short cervix and delivered by caesarean section at 38 weeks a healthy baby boy. Case 2 is a 34-yearsold woman gravida 5 para 0 abortus 4 known case of diabetes mellitus type 2 and hypothyroidism, she has a history of 3 failed transvaginal cervical cerclage where all ended in miscarriages, so the fifth pregnancy was managed with transabdominal cerclage and she completed her pregnancy until 38 weeks of gestation and delivered a healthy baby boy by caesarean section.