Abdominal Cerclage (TAC) Specialist

What is transabdominal cerclage?

A cerclage is a band of synthetic material that Dr. Tajzoy places around your cervix to reinforce it. This procedure helps prevent pregnancy complications related to the structure of your cervix, such as preterm birth. A transabdominal cerclage (TAC) involves placing a cerclage through a small incision in your lower abdomen.

Traditionally, cervical cerclage was performed transvaginally, or through the vagina. Though this procedure has led to successful pregnancies for many patients, the newer transabdominal approach offers considerable benefits, such as:

• Optimal cerclage placement
• Stronger, more secure cerclage
• Can be used in subsequent pregnancies

As an expert in minimally invasive surgery, Dr. Tajzoy is among the few OB/GYNs to offer robotic-assisted laparoscopic TACs. This means that he uses advanced technology and specialized instruments that allow him to place the cerclage while making only tiny incisions, about the size of a buttonhole.

Laparoscopic TACs offer numerous benefits, including reduced scarring, shorter recovery time, and minimal risk of complications.

Why would I need transabdominal cerclage?

The most common reason for TAC is to reinforce the cervix in women who have lost multiple pregnancies due to a condition called cervical insufficiency. Also known as an incompetent cervix, this condition occurs when weak cervical tissues contribute to the premature birth or loss of a pregnancy that was otherwise healthy.

Miscarriage and premature birth can be devastating. That’s why Dr. Tajzoy recommends TACs for women with cervical insufficiency.

If an ultrasound indicates cervical insufficiency before you’re pregnant, he can even place a preconceptual TAC as a preventive measure. Otherwise, Dr. Tajzoy can perform TACs during the first trimester of pregnancy, when the risk to the mother and baby is minimal.

What should I expect from a laparoscopic TAC procedure?

First, Dr. Tajzoy performs a comprehensive physical exam and reviews your medical history to determine whether TAC is right for you. He may take an ultrasound to examine your cervix.

During the procedure, Dr. Tajzoy makes one or more tiny incisions in your lower abdomen. He then inserts a thin, lighted instrument with a camera lens called a laparoscope into the incision.

Specialized robotic technology enables him to make precise movements with minimal damage to surrounding tissues as he places your cerclage.

Most women with TACs are able to complete successful, full-term pregnancies. To find out if you’re a good candidate for TAC, call the office of Emil Tajzoy, MD, or book an appointment online today.