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#Admin January 9, 2026

Laparoscopic Cerclage (TAC) for Cervical Incompetence

Cervical incompetence can be a difficult and emotional condition for women who experience repeated pregnancy loss or early preterm birth. It occurs when the cervix becomes weak and opens too early during pregnancy, often without pain or warning signs.

With advances in medical technology, effective treatment options are now available. One of the most reliable solutions is Laparoscopic Transabdominal Cerclage (TAC).

At Amayra Healthcare, women receive expert care and advanced treatment under the guidance of Dr. Ajay Aggarwal, helping them achieve safer and healthier pregnancies.

What Is Cervical Incompetence?

Cervical incompetence, also known as cervical insufficiency, means the cervix is unable to remain closed as pregnancy progresses. This can lead to miscarriage, usually in the second trimester, or premature delivery.

Common causes include:

  • Naturally weak cervical tissue

  • Previous cervical surgeries

  • Injury during childbirth or medical procedures

  • Structural abnormalities of the cervix

Early diagnosis and proper management are key to improving pregnancy outcomes.

What Is Laparoscopic Transabdominal Cerclage (TAC)?

Laparoscopic TAC is a surgical procedure in which a strong stitch is placed around the cervix through the abdomen to keep it securely closed during pregnancy. The surgery is done using laparoscopic (keyhole) techniques, which involve small incisions and specialized instruments.

This method offers stronger and more reliable support than vaginal cerclage, especially for women with severe cervical weakness. At Amayra Healthcare, Dr. Ajay Aggarwal performs laparoscopic TAC with precision and a patient-focused approach.

Who Should Consider Laparoscopic TAC?

Laparoscopic cerclage may be recommended for women who:

  • Have had repeated second-trimester miscarriages

  • Experienced failure of vaginal cerclage in previous pregnancies

  • Have a very short, scarred, or damaged cervix

  • Need a long-term solution for future pregnancies

Each patient is carefully evaluated to determine whether TAC should be performed before pregnancy or during early pregnancy.

Benefits of Laparoscopic Cerclage (TAC)

  • Provides strong and long-lasting cervical support

  • Minimally invasive with smaller incisions

  • Faster recovery and less postoperative pain

  • Lower risk of miscarriage and preterm birth

  • Can remain in place for future pregnancies

Patients at Amayra Healthcare benefit from advanced facilities and personalized care throughout their pregnancy journey.

Procedure and Recovery

During the procedure:
The surgery is performed under general anesthesia. A strong stitch is placed around the cervix through small abdominal incisions using laparoscopic instruments.

After the procedure:

  • Hospital stay is usually 1–2 days

  • Mild discomfort may be felt for a few days

  • Normal activities can be resumed gradually

  • Regular follow-ups are scheduled during pregnancy

Because the stitch remains in place, delivery is planned by cesarean section for safety.

Is Laparoscopic TAC Safe?

Laparoscopic TAC is considered a safe procedure when performed by an experienced surgeon. As with any surgery, there are small risks such as infection or bleeding, but complications are uncommon. Under the expert care of Dr. Ajay Aggarwal, patients receive thorough monitoring and support.

Why Choose Amayra Healthcare?

  • Expertise in advanced laparoscopic procedures

  • Personalized care for high-risk pregnancies

  • Modern medical infrastructure

  • Compassionate, patient-friendly approach

Amayra Healthcare is committed to helping women experience successful and healthy pregnancies.

Frequently Asked Questions (FAQs)

What is laparoscopic cerclage (TAC)?

It is a minimally invasive surgical procedure where a stitch is placed around the cervix through the abdomen to prevent it from opening too early during pregnancy.

How is TAC different from vaginal cerclage?

TAC is placed higher on the cervix and offers stronger support, especially when vaginal cerclage has failed or cannot be performed.

When is the best time to undergo TAC?

The procedure can be done before pregnancy or in early pregnancy, depending on the patient’s medical history.

How long does recovery take?

Most women recover within a few days and return to normal activities gradually.

Will I need a C-section after TAC?

Yes, delivery is planned through cesarean section because the stitch remains in place.

Can the cerclage be used for future pregnancies?

In many cases, the cerclage can stay in place and support future pregnancies.

Where can I consult for laparoscopic TAC?

You can consult Dr. Ajay Aggarwal at Amayra Healthcare for expert evaluation and treatment.

Final Thoughts

Laparoscopic Transabdominal Cerclage (TAC) has brought hope to many women facing cervical incompetence. With the right care and timely treatment, it is possible to carry a pregnancy safely to term.

If you have experienced pregnancy loss or have been diagnosed with cervical weakness, consult Dr. Ajay Aggarwal at Amayra Healthcare to explore the best treatment options for you.

Every pregnancy deserves expert care and support.

We Are Always Ready to Help You. Book An Appointment

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