Can a transabdominal cerclage be performed before pregnancy?
A. Yes, in fact, a unique aspect of our cervical insufficiency approach is that the majority of our patients have their transabdominal cerclage placed before pregnancy. Most believe that Dr. Haney has placed more pre-pregnancy cerclages than any other surgeon in the nation. The advantages of the prepregnancy transabdominal cerclage are that it eliminates any risk to the fetus and enables the cerclage to be placed as high as possible around the cervix. The TAC procedure is the ideal treatment for women with multiple losses due to a damaged or malformed cervix or a failed transvaginal cerclage.