Cervical Cerclage
Dr Jenny Cook | Sydney Gynaecologist & Advanced Laparoscopic Surgeon
Specialised Surgery to Support Pregnancy
A laparoscopic cervical cerclage is a specialised procedure performed in women with a short cervix and a risk of cervical incompetence.This condition can lead to pregnancy loss after 16 weeks, known as mid-trimester pregnancy loss.
In rare cases, the procedure may also be required after cervical cancer surgery, when the entire cervix has been removed.
How the Procedure is Performed
The operation is performed using laparoscopy (keyhole surgery):
The bladder is gently reflected off the cervix
A synthetic tape is placed at the level of the internal os (the entry of the cervical canal into the uterus)
The tape is securely tied at this point to keep the uterus closed during pregnancy
This creates a strong support for the pregnancy and reduces the risk of miscarriage or preterm labour.
Hospital Stay & Recovery
You will usually stay in hospital overnight
A follow-up appointment at 10 days will be arranged to review laparoscopic pictures and check recovery
Delivery will be by Caesarean section
The suture can safely remain in place for subsequent pregnancies
Advantages of Laparoscopic Cerclage
Compared with the traditional vaginal approach, laparoscopic cervical cerclage offers several benefits:
The suture is placed higher, closer to the uterus
Lower risk of erosion, chronic discharge, and infection
The same suture can remain in place for multiple pregnancies
Minimally invasive approach with small incisions and faster recovery
Case Study
Explore your options for cervical cerclage.
Laparoscopic Cervical Cerclage is a highly specialised procedure that provides additional support for pregnancy where the cervix cannot. With advanced surgical expertise, I can help reduce risks and support you through your journey to parenthood.