TAC (Transabdominal cervicoisthmus cerclage)

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cervical stitch septum TAC (transabdominal cervicoisthmus cerclage, transabdominal cerlage), cervical intraabdominal seam, circular suture using the abdominal method.

TAC Suture is found in women with cervical insufficiency (cervical and cervical insufficiency), i.e. the inability of the cervix to maintain a pregnancy until the anticipated date of delivery.

Cervical factor plays a very important role in the etiology of abortion and preterm delivery. Suture TAC established before pregnancy is an effective method to reduce the incidence of spontaneous pregnancy loss in women with known cervical and cervical insufficiency.

The first to set up a cervical detachment from the abdominal access were Benson and Durfee.

The TAC Suture in the United States has been widely used since 1 January 1985 at the Brigham & Women's Hospital in Boston: Errol R. Norwitz, MD, PhD, David M. Lee, MD, and Donald P. Goldstein, MD.

In Poland, the TAC seam using the traditional method through the abdomen primarily assumes prof. dr hab. n. med. Grzegorz Krasomski at the Obstetrics and Gynecology Clinic at the Institute of Polish Mother's Health Center in Łódź.

Since 2001, prof. Krasomski founded the TAC 128 Suture for women who had previously lost one or more pregnancies (abortive or prematurely) and have failed their commonly used methods of fighting cervical insufficiency (transvaginal McDonald's or pessary).

The effectiveness of the transvaginal Mc Donald Suture is estimated at 18-24%, and the transabdominal TAC stitch at 95%.

Maternal successes thanks to TAC, after previous failures have a very positive effect on the mental state of women.

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