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Patients: pregnant women who underwent laparoscopic transabdominal cerclage from 2011 to 2017. Eligible women had cervical insufficiency and were not suitable for a transvaginal cerclage. Intervention: the insertion of a laparoscopic transabdominal cerclage in the pregnancy. Measurements: neonatal survival, delivery of an infant at \u226534\u00a0weeks gestation and surgical morbidity were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 19 women who underwent laparoscopic transabdominal cerclage in pregnancy, at 6\u201311\u00a0weeks gestation, the perinatal survival rate was 100%. There were no complications. The average gestational age at delivery was 37.1\u00a0weeks. Sixteen women delivered after 34\u00a0weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Laparoscopic transabdominal cerclage is a safe and effective procedure in women with poor obstetric histories. 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