Laparoscopic abdominal cervical cerclage before conception--case report.

Cervical incompetence is characterized by painless cervical dilation in the second or early in the third trimester with prolapsed membranes and expulsion of an immature fetus. Cervical cerclage performed during pregnancy is a typical and effective treatment of cervical incompetence. In case of previously failed cervical cerclages or other cervix malformations the procedure of abdominal cerclage in prepregnancy period can be considered as an option to help keep a pregnancy. In the following work we present two cases in which laparoscopic abdominal cervical cerclage was performed before conception. Laparoscopic cervical cerclage is a less invasive technique with acceptable outcome, that could replace the traditional laparotomy technique.