{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:37:06Z","timestamp":1747186626783,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,8,25]],"date-time":"2024-08-25T00:00:00Z","timestamp":1724544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to investigate the obstetric outcomes of transabdominal cerclage (TAC) in Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Questionnaires on TAC were sent to 183 institutions performing high\u2010quality perinatal management in Japan. As a first\u2010step questionnaire, we asked whether TAC was performed between January 1, 2011, and December 31, 2022. In the second step of the questionnaire, the characteristics of all cases were asked from all institutions in which TAC was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The response rate for the first survey was 59% (108\/183). Of the 108 institutions, 27 performed TAC (25%) in 133 pregnancies. Of these 27 institutions, 19 responded to the second survey. One hundred twenty\u2010five pregnancies were included in this study, five of which were aborted (gestational weeks &lt;22\u2009weeks), and 69 babies were born after 37 gestational weeks (55%). Eighty\u2010two open abdominal cerclages were performed at 17 institutions and 43 laparoscopic TACs at three institutions. There were no differences in the age at TAC, gestational weeks at TAC, operative time of TAC, gestational weeks at delivery, incidence rate of second\u2010trimester loss, or preterm delivery (before 37 gestational weeks) rate between the two groups. However, blood loss during open TAC was greater than that during laparoscopic TAC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TAC is a rare surgery for cervical insufficiency in Japan. TAC may be a safe and useful method for preventing second\u2010trimester loss and preterm delivery in high\u2010risk patients. TAC may also be a key option in Japan to improve perinatal outcomes in patients with cervical insufficiency.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.16063","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T06:18:27Z","timestamp":1724653107000},"page":"1835-1840","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Obstetric outcomes of transabdominal cerclage: A retrospective observational study in Japan"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2395-9591","authenticated-orcid":false,"given":"Yoshifumi","family":"Kasuga","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Keio University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Tanigaki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kyorin University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6242-8510","authenticated-orcid":false,"given":"Kohei","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Showa University Northern Yokohama Hospital  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayumi","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nagasaki University Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1622-4063","authenticated-orcid":false,"given":"Yoshimitsu","family":"Kuwabara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nippon Medical School  Tokyo 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