Comparative study on the clinical efficacy of laparoscopic cervicoisthmic cerclage and transvaginal cervical cerclage in the treatment of cervical insufficiency after hysteroscopic adhesiolysis for intrauterine adhesions: a retrospective cohort study - Takeaways - MDSpire

Comparative study on the clinical efficacy of laparoscopic cervicoisthmic cerclage and transvaginal cervical cerclage in the treatment of cervical insufficiency after hysteroscopic adhesiolysis for intrauterine adhesions: a retrospective cohort study

  • By

  • Hui-Liu Fan

  • Xiao-Xia Wu

  • Zhen-Zhen Wen

  • Hong-Lan Wei

  • May 25, 2026

  • 0 min

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  • 1

    Laparoscopic cervical cerclage (LAC) showed a higher term delivery rate compared to transvaginal cervical cerclage (TVC) in patients with cervical insufficiency.

  • 2

    The LAC group had a significantly lower preterm birth rate before 34 weeks compared to the TVC group, indicating better pregnancy outcomes.

  • 3

    In terms of safety, LAC resulted in lower infection and suture slippage rates than TVC, while TVC had a higher cervical laceration rate.

  • 4

    Subgroup analysis revealed LAC was particularly effective for patients with moderate-to-severe intrauterine adhesions.

  • 5

    Individualized surgical selection is recommended, with LAC preferred for high-risk patients and TVC suitable for those with mild intrauterine adhesions.

Original Source(s)

Comparative study on the clinical efficacy of laparoscopic cervicoisthmic cerclage and transvaginal cervical cerclage in the treatment of cervical insufficiency after hysteroscopic adhesiolysis for intrauterine adhesions: a retrospective cohort study

  • by Hui-Liu Fan, Xiao-Xia Wu, Zhen-Zhen Wen, Hong-Lan Wei

  • May 25, 2026

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