Trans Abdominal Cerclage
Advanced Treatment for Cervical Incompetence & Recurrent Pregnancy Loss
Performed by Dr. Nikita Trehan at Sunrise Hospital – Delhi
Trans Abdominal Cerclage (TAC) is a highly effective treatment for severe cervical incompetence, recurrent second-trimester pregnancy loss, and cases where vaginal cerclage has failed.
Sunrise Hospital is one of the leading centres in Delhi offering laparoscopic TAC, ensuring better outcomes and long-term cervical support.
Specialized treatment performed by Dr. Nikita Trehan, providing comprehensive care for complex pregnancy conditions at Sunrise Hospital, Delhi.
What is Cervical Incompetence?
Cervical incompetence (also called cervical insufficiency) happens when the cervix opens earlier than it should, usually without pain. This can lead to pregnancy loss in the second trimester or very early preterm delivery.
At Sunrise Hospital, we evaluate cervical health using:
- Transvaginal and 4D ultrasound
- Cervical length measurement
- Previous pregnancy history
- Physical examination when required
Our goal is to understand your condition clearly and guide you with the best treatment option.
Types of Cerclage Procedures We Offer
Sunrise Hospital is one of the few centers in Delhi equipped to provide all three cerclage techniques, depending on severity of cervical incompetence.
Transvaginal Cerclage
McDonald/ShirodkarA common and minimally invasive procedure performed through the vagina.
- Usually placed between 12–14 weeks
- Quick recovery
- Day-care procedure
- Effective for mild to moderate cervical weakness
Trans Abdominal Cerclage (TAC)
Advanced TechniqueTAC is a stitch placed through the abdomen—usually via laparoscopy—to provide strong and long-term cervical support.
- Previous vaginal cerclage has failed
- The cervix is extremely short or damaged
- You’ve experienced multiple second-trimester pregnancy losses
- Vaginal cerclage is not anatomically possible
Emergency Cerclage
Urgent CareIf the cervix is opening during pregnancy, an emergency cerclage may help prevent further dilation.
- Usually performed between 16–24 weeks
- Time-sensitive procedure
- Requires expert handling
- Close monitoring throughout the pregnancy
Pregnancy Journey After Cerclage
We support you throughout your pregnancy with personalized guidance.
Regular Monitoring
- Ultrasound every 2–4 weeks
- Cervical length tracking
- Stitch position monitoring
Activity & Lifestyle Guidance
- Avoid heavy lifting
- Minimize intense physical activity
- Follow modified rest if recommended
Medications
- Progesterone support
- Antibiotics when needed
- Additional medicines depending on your condition
Stitch Removal
- Vaginal cerclage: removed at 36–37 weeks
- TAC: not removed , and delivery is planned via C-section
TAC Success Rates at Sunrise Hospital
Our outcomes speak for themselves:
90–95% pregnancy continuation after TAC
Majority of patients reach full term
Excellent results in recurrent pregnancy-loss cases
Who Should Consider Cerclage?
A cerclage may be recommended if you have:
- Repeated second-trimester pregnancy losses
- History of painless cervical dilation
- Cervical length less than 25mm on ultrasound
- Previous premature birth due to cervical issues
- History of cervical surgeries (cone biopsy, LEEP)
- Failed previous cerclage
Benefits of TAC Over Traditional Methods
TAC provides stronger support for pregnancies that need high-level cervical reinforcement.
Advantages of TAC:
- Higher and stronger placement
- Works even with severe cervical weakness
- Not affected by cervical shortening
- Ideal after failed vaginal cerclage
- Permanent stitch for future pregnancies
Our TAC Care Process at Sunrise Hospital
Before the Procedure
We begin with a detailed assessment:
- Pregnancy & medical history review
- Cervical ultrasound
- Risk evaluation
- Counselling on available options
- Planning of TAC or cerclage strategy
After the Procedure
We offer complete post-procedure guidance including:
- Regular cervical monitoring
- Medication and progesterone support
- Activity modification
- 24/7 emergency availability
- Dedicated care coordinator for personalized support
Why Choose Sunrise Hospital for TAC in Delhi?
Performed by Dr. Nikita Trehan, a leading laparoscopic gynecologist
One of Delhi’s top centres for laparoscopic TAC and high-risk pregnancy care
Advanced operation theatres
Fetal medicine team support
Over 1000+ cerclage procedures performed
TAC success rate of 90–95%
Compassionate care, clear communication, and continuous monitoring
Frequently Asked Questions (FAQs)
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout.