Cervical insufficiency is seen in 0.1% - 1% of all pregnancies and classical treatment involves vaginal cerclage. In some conditions, such as an extremely short, deformed or absent cervix, surgery needs to be done by transabdominal approach. We use a simplified technique for laparoscopic transabdominal cerclage compared to the technique described in previous studies. Furthermore, we give a review on the literature published on this subject. We have a case series of 12 patients operated in a non-pregnant state with previously failed vaginal cerclage (n = 4) or in which a vaginal approach appeared to be impossible due to a history of cervical surgery (n = 8). Minor complication of vaginal erosion of the cerclage tape was described in 2 cases. Comparable studies of transabdominal cerclage via laparotomy or laparoscopy could not show any difference in obstetric outcome. Several studies mentioned the advantages of the laparoscopic approach (short hospitalisation, fast recovery, high placement of the suture,) and no complications were described. Transabdominal cerclage performed by laparoscopy seems to be a feasible technique in cases transvaginal cerclage fails or is technically impossible.
 A. J. Drakeley, D. Roberts and Z. Alfirevic, “Cervical Cerclage for Prevention of Preterm Delivery: Meta-Analysis of Randomized Trials,” Obstetrics & Gynecology, Vol. 102, No. 3, 2003, pp. 621-627. doi:10.1016/S0029-7844(03)00673-2
 I. A. McDonald, “Suture of the Cervix for Inevitable Miscarriage,” BJOG: An International Journal of Obstetrics & Gynaecology, Vol. 64, No. 3, 1957, pp. 346-350. doi:10.1111/j.1471-0528. 1957.tb02650.x
 M. J. Mingione, J. J. Scibetta, S. R. Sanko and W. R. Phipps, “Clinical Outcomes Following Interval Laparoscopic Transabdominal Cervico-Isthmic Cerclage Placement: Case Series,” Human Reproduction, Vol. 18, No. 8, 2003, pp. 1716-1719. doi:10.1093/humrep/deg345
 J. P. Geisler, C. J. Orr and K. J. Manahan, “Robotically Assisted Total Laparoscopic Radical Trachelectomy for Fertility Sparing in Stage IB1 Adenosarcoma of the Cervix,” Journal of Laparoendoscopic & Advanced Surgical Techniques A, Vol. 18, No. 5, 2008, pp. 727-729. doi:10.1089/lap. 2007.0236
 Y. Sonoda and N. R. Abu-Rustum, “Radical Vaginal Trachelectomy and Laparoscopic Pelvic Lymphadenectomy for Early-Stage Cervical Cancer in Patients Who Desire to Preserve Fertility,” Gynecologic Oncology, Vol. 104, No. 2, 2007, pp. 50-55. doi:10.1016/j.ygyno.2006.10.035
 G. Davis, V. Berghella, M. Talucci and R. J. Wapner, “Patients with a Prior Failed Transvaginal Cerclage: A Comparison of Obstetric Outcomes with Either Tansabdominal or Transvaginal Cerclage,” American Journal of Obstetrics & Gynecology, Vol. 183, No. 4, 2000, pp. 836-839. doi:10.1067/mob.2000.108837
 V. Zaveri, F. Aghajafari, K. Amankwah and M. Hannah, “Abdominal versus Vaginal Cerclage after a Failed Transvaginal Cerclage: A Systematic Review,” American Journal of Obstetrics & Gynecology, Vol. 187, No. 4, 2002, pp. 868-872. doi:10.1067/mob.2002.126959
 M. Y. Shin, E. S. Seo, S. J. Choi, S. Y. Oh, B. G. Kim, D. S. Bae, J. H. Kim and C. R. Roh, “The Role of Prophylactic Cerclage in Preventing Preterm Delivery after Electrosurgical Conization,” Journal of Gynecologic Oncology, Vol. 21, No. 4, 2010, pp. 230-236. doi:10.3802/jgo.2010.21.4.230
 K. H. Nam, J. Y. Kwon, Y. H. Kim and Y. W. Park, “Pregnancy Outcome after Cervical Conization: Risk Factors for Preterm Delivery and the Efficacy of Prophylactic Cerclage,” Journal of Gynecologic Oncology, Vol. 21, No. 4, 2010, pp. 225-229. doi:10.3802/jgo.2010.21.4.225
 L. Wolfe, S. De Pasquale, D. Adair, C. Torres, S. Stallings, C. Briery and C. Pearce, “Robotic-Assisted Laparoscopic Placement of Transbdominale Cerclage during Pregnancy,” American Journal of Perinatology, Vol. 25, No. 10, 2008, pp. 653-655. doi:10.1055/s-0028-1090591
 A. J. Fechner, M. Alvarez, D. H. Smith and A. Al-Khan, “Robotic-Assisted Laparoscopic Cerclage in a Pregnant Patient,” American Journal of Obstetrics & Gynecology, Vol. 200, No. 2, 2009, pp. 10-11. doi:10.1016/j.ajog.2008.10.029
 F. Lotgering, I. Gaugler-Senden, S. F. Lotgering and H. C. S. Wallenburg, “Outcome after Transabdominal Cervicoisthmic Cerclage,” Obstetrics & Gynecology, Vol. 107, No. 4, 2006, pp. 779-784. doi:10.1097/01.AOG.0000206817.97328.cd
 D. Gallot, D. Savary, H. Laurichesse, J. A. Bournazeau, J. Amblard and D. Lémery, “Experience with Three Laparoscopic Transabdominal Cervico-Isthmic Cerclage and Two Subsequent Pregnancies,” BJOG: An International Journal of Obstetrics & Gynaecology, Vol. 110, No. 7, 2003, pp. 696-700. doi:10.1046/j.1471-0528.2003.02272.x
 G. D. Reid, H. J. Wills, A. Shukla and P. Hammill, “Laparoscopic Transabdominal Cervico-Isthmic Cerclage: Minimally Invasive Approach,” Australian & New Zealand Journal of Obstetrics & Gynaecology, Vol. 48, No. 2, 2008, pp. 185-188. doi:10.1111/j.1479-828X.2008.00835.x
 H. S. Liddell and C. Lo, “Laparoscopic Cervical Cerclage: A Series in Women with a History of Second Trimester Miscarriage,” Journal of Minimally Invasive Gynecology, Vol. 15, No. 3, 2008, pp. 342-345. doi:10.1016/j.jmig.2008.01.003
 G. Nicolet, M. Cohen, L. Begue, L. Reyftmann, P. Boulot and H. Déchaud, “Laparoscopic Cervico-Isthmic Cerclage Evaluation,” Gynécologie Obstétrique & Fertilité, Vol. 37, No. 4, 2009, pp. 294-399. doi:10.1016/j.gyobfe.2009.02.012
 M. Kjollesdl, S. Nielsen, J.-H. Stjerndahl and M. A. Ellstrom Engh, “Laparoscopic Cervico-Uterine Cerclage Using Polypropylene Mesh for the Treatment of Cervical Incompetence,” Acta Obstetricia et Gynecologica Scandinavica, Vol. 84, No. 8, 2005, pp. 823-824.
 C.-H. Cho, T.-H. Kim, S.-H. Kwon, J.-I. Kim, S.-D. Yoon and S.-D. Cha, “Laparoscopic Transabdominal Cerclage during Pregnancy,” Journal of Minimally Invasive Gynecology, Vol. 10, No. 3, 2003, pp. 363-366.
 J. Carter, D. Soper, L. Goetzl and P. Van Dorsten, “Abdominal Cerclage for the Treatment of Recurrent Cervical Insuffficiency: Laparoscopy of Laparotomy?” American Journal of Obstetrics & Gynecology, Vol. 201, No. 1, 2009, pp. 111.e1-111.e4.
 W. L. Whittle, S. S. Singh, L. Allen, L. Glaude, J. Thomas, R. Windrim and N. Leyland, “Laparoscopic Cervico-Isthmic Cerclage: Surgical Technique and Obstetric Outcomes,” American Journal of Obstetrics & Gynecology, Vol. 201, No. 4, 2009, pp. 364.e1-364.e7.
 V. Berghella, T. J. Rafael, J. M. Szychowski, O. A. Rust and J. Owen, “Cerclage for Short Cervix on Ultrasonography in Women with Singleton Gestations and Previous Preterm Birth: A Meta-Analysis,” Obstetrics & Gynecology, Vol. 117, No. 3, 2011, pp. 663-671. doi:10.1097/AOG.0b013e31820ca847
 A. Gesson-Paute, A. Berrebi and O. Parant, “Transabdominal Cervico-Isthmic Cerclage in the Management of Cervical Incompetence in High Risk Women,” Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Vol. 36, No. 1, 2007, pp. 30-35. doi:10.1016/j.jgyn.2006.11.003
 L. L. Thuezen, B. R. Diness and J. Langhoff-Roos, “PrePregnancy Transabdominal Cerclage,” Acta Obstetricia et Gynecologica Scandinavica, Vol. 88, No. 4, 2009, pp. 483-486. doi:10.1080/00016 340902730383
 M. P. Umstad, M. A. Quinn and A. Ades, “Transabdominal Cerclage,” Austral and New Zealand Journal of Obstetrics and Gynaecology, Vol. 50, No. 5, 2010, pp. 460-464. doi:10.1111/j.1479-828X. 2010.01212.x