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Comparative Studies | Obstetrics and Gynecology | Volume 15 Issue 4, April 2026 | Pages: 852 - 855 | India
Cervical Encerclage: Transabdominal vs Transvaginal: A Bidirectional Comparative Study
Abstract: Background: Cervical insufficiency remains a significant risk factor for preterm birth and adverse neonatal outcomes. Cervical encerclage by transabdominal (LAC) and transvaginal (TVC) approaches have been established as preventive interventions, yet comparative outcome data is limited. Objective: To compare pregnancy outcomes between laparoscopic abdominal cerclage and transvaginal cerclage in women with cervical insufficiency. Methods: A 24-month observational comparative study was conducted from March 2022 to February 2024 at Sri Ramakrishna Hospital, Coimbatore. Fifty patients (20 LAC, 30 TVC) meeting inclusion criteria underwent cervical cerclage. Primary outcome was gestational age at delivery; secondary outcomes included maternal complications, mode of delivery, and neonatal outcomes including NICU admission, survival rates, and birth weight. Results: Mean gestational age at delivery was significantly higher in the LAC group (37±1.21 weeks) compared to TVC group (36±2.43 weeks). Hospital stay duration was comparable (LAC: 3.75±3.30 days vs TVC: 3.75±2.87 days). No intraoperative complications occurred in either group. Notably, NICU survival rates were identical (100%) in both groups. Infants in the TVC group had longer NICU stays (40±2.43 days vs 28±1.32 days) and lower birth weights (2.87±0.85 kg vs 3.00±0.83 kg). APGAR scores at 1 and 5 minutes were significantly better in the LAC group (p=0.000). Conclusion: Both cerclage techniques effectively prolong gestation and achieve excellent neonatal survival rates. However, LAC demonstrated superior outcomes in gestational age at delivery, birth weight, and neonatal APGAR scores, while both methods showed comparable safety profiles. Patient selection based on cervical anatomy, history, and individual preferences remains crucial for optimal outcomes.
Keywords: Cervical encerclage, transabdominal cerclage, transvaginal cerclage, preterm birth, cervical insufficiency, neonatal outcomes
How to Cite?: Dr. Rajyalakshmi, Dr. Saranya V, "Cervical Encerclage: Transabdominal vs Transvaginal: A Bidirectional Comparative Study", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 852-855, https://www.ijsr.net/getabstract.php?paperid=MR26413185252, DOI: https://dx.dx.doi.org/10.21275/MR26413185252