{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T13:54:42Z","timestamp":1764251682992,"version":"3.40.5"},"reference-count":24,"publisher":"S. Karger AG","issue":"1-2","license":[{"start":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T00:00:00Z","timestamp":1608076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T00:00:00Z","timestamp":1608076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gynecol Obstet Invest"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; In high-risk patients with cervical incompetence, laparoscopic cerclage is a promising treatment option. However, the procedure exhibits relevant surgical risks. &lt;b&gt;&lt;i&gt;Aims:&lt;\/i&gt;&lt;\/b&gt; The purpose of this study was to evaluate a surgical \u201cneedle-free\u201d technique for minimally invasive, laparoscopically placed cervico-isthmic cerclage in high-risk patients. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; This was a retrospective observational study over a 10-year period of pre- and postconceptional cerclage placement. The included patients either experienced previous transvaginal cerclage (TVC) failure or were not eligible for TVC. Laparoscopic transabdominal cerclage using a needle-less mersilene tape was performed via a broad ligament window lateral to the uterine vessels. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Laparoscopic transabdominal cerclage was successfully performed in all included women with a median operation time of 62 min. We did not observe any intra- or postoperative complications, particularly no bleeding complications. Nine of 11 women became pregnant and\/or carried out a successful pregnancy, respectively. Importantly, we did not observe any cases of miscarriage or mid-trimester loss. Two patients did not conceive; however, their medical histories did include Asherman\u2019s syndrome and advanced maternal age. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; Transabdominal laparoscopic \u201cneedle-free\u201d cerclage is a safe and effective treatment option for a well-selected group of women at high risk of cervical incompetence. It provides good obstetric results without increasing perioperative morbidity. <\/jats:p>","DOI":"10.1159\/000512191","type":"journal-article","created":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T06:49:30Z","timestamp":1615531770000},"page":"81-87","source":"Crossref","is-referenced-by-count":6,"title":["Minimally Invasive Laparoscopic Transabdominal Cerclage with a \u201cNeedle-Free\u201d Technique: A Single-Center Experience"],"prefix":"10.1159","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7009-8352","authenticated-orcid":false,"given":"Samira","family":"Abdel Azim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Verena","family":"Wieser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Ritter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Tiechl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Kropshofer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Widschwendter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siegfried","family":"Fessler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2020,12,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/s0029-7844(97)00655-8"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/s0015-0282(97)00444-5"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0b013e31820ca847"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.108837"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3016.2001.00007.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7506.1478"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2017.07.021"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.07.018"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.07.025"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2015.0238"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2020.01.013"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2018.07.002"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.05.033"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.04.008"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2015.04.019"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.07.030"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deg345"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12774"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/s1074-3804(05)60263-0"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2008.01.003"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.gyobfe.2009.02.012"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12001"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.05.032"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12156"}],"container-title":["Gynecologic and Obstetric Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/512191","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/512191","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:14:43Z","timestamp":1745424883000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000512191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,16]]},"references-count":24,"journal-issue":{"issue":"1-2","published-online":{"date-parts":[[2021,5,20]]},"published-print":{"date-parts":[[2021,5,25]]}},"URL":"https:\/\/doi.org\/10.1159\/000512191","archive":["Portico"],"relation":{},"ISSN":["0378-7346","1423-002X"],"issn-type":[{"type":"print","value":"0378-7346"},{"type":"electronic","value":"1423-002X"}],"subject":[],"published":{"date-parts":[[2020,12,16]]}}}