ArticleFrontiers in reproductive health2026
Comparative study on the clinical efficacy of laparoscopic cervicoisthmic cerclage and transvaginal cervical cerclage in the treatment of cervical insufficiency after hysteroscopic adhesiolysis for intrauterine adhesions: a retrospective cohort study.
Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: This study compared the clinical efficacy of laparoscopic cervical cerclage (LAC) and transvaginal cervical cerclage (TVC) in treating cervical insufficiency (CI) patients after hysteroscopic adhesiolysis for intrauterine adhesions (IUA). Methods: A total of 170 eligible patients (66 in the LAC group, 104 in the TVC group) admitted from Jan 2018 to Jan 2024 were retrospectively analyzed, with LAC performed pre-pregnancy and transvaginal McDonald cerclage performed at 12-16 weeks of gestation in the TVC group. Pregnancy outcomes and surgical safety were compared between the two groups, with subgroup analysis conducted by IUA severity. Results: Results showed that the LAC group had a significantly higher term delivery rate (89.4% vs. 71.2%,
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