Downloads: 2
Case Report | Obstetrics and Gynecology | Volume 15 Issue 6, June 2026 | Pages: 1458 - 1461 | India
Cerclage Slippage Following Laparoscopic Trans-Abdominal Cerclage Resulting in Second-Trimester Pregnancy Loss: A Case Report
Abstract: Cervical incompetence is a significant cause of recurrent second-trimester pregnancy loss and preterm birth. Laparoscopic transabdominal cervical cerclage is an effective treatment for women in whom transvaginal cerclage has failed or is technically not feasible. We report the case of a 34-year-old gravida 6, para 1, live 1, abortion 4, with a history of recurrent mid-trimester pregnancy losses and a previous successful pregnancy following laparoscopic transabdominal cerclage, who presented at 16 weeks and 2 days of gestation with abdominal pain, vaginal bleeding, and leaking per vagina. Emergency laparoscopic exploration revealed displacement of the cerclage below the cervico-isthmic junction, resulting in cervical dilatation and pregnancy loss, along with a 2-cm lower uterine segment rent. Laparoscopic removal of the displaced cerclage, adhesiolysis, repair of the uterine rent, and ultrasound-guided evacuation of the products of conception were successfully performed without intraoperative or postoperative complications. This case highlights a rare cause of failure of laparoscopic transabdominal cerclage despite a previous successful pregnancy and emphasizes the importance of meticulous surgical technique, close antenatal surveillance, and prompt laparoscopic management of complications. Laparoscopic surgery remains a safe and effective minimally invasive approach for both placement and emergency removal of transabdominal cerclage.
Keywords: Cervical incompetence, Laparoscopic transabdominal cerclage, Cerclage slippage, Pregnancy loss, Laparoscopy
How to Cite?: Dr. M. Lakshmi Sindhuja, Dr. Surakshith Battina, "Cerclage Slippage Following Laparoscopic Trans-Abdominal Cerclage Resulting in Second-Trimester Pregnancy Loss: A Case Report", Volume 15 Issue 6, June 2026, International Journal of Science and Research (IJSR), Pages: 1458-1461, https://www.ijsr.net/getabstract.php?paperid=SR26621191236, DOI: https://dx.doi.org/10.21275/SR26621191236