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The most common reason for TAC is cervical insufficiency/incompetent cervix. This occurs when weak cervical tissues contribute to the premature birth or loss of pregnancy that was otherwise healthy. Laparoscopic abdominal cerclage has a 97-99% success rate. Dr. Fogwell provides this service in Dallas for patients who come from all over the country, placing over 300 laparoscopic abdominal cerclages.