FCV-291 Laparoscopic Transabdominal Cerclage; A step by step guide

Laparoscopic Transabdominal Cerclage (TAC) is becoming increasingly in demand by patients in the UK. Despite this there are only a few centres that routinely offer this service. We offer this service at the Birmingham Women's hospital, currently being practiced by a single surgeon in the unit. 

TAC is a preferred option for women with previously failed vaginal cervical sutures, previous midterm pregnancy losses and women with trachelectomy or cervical surgeries. It can be very technically challenging and an advanced laparoscopic surgical skill set is required. 

We present a video tutorial showing a step by step guide on how to perform a laparoscopic TAC discussing key steps and anatomical landmarks. We discuss the risks involved with the procedure as well as management with pregnancy complications once the TAC is placed.

There is a need for laparoscopic surgeons within their units to develop these skills so this service can be offered nationwide without geographical restrictions.