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The laparoscopic abdominal cerclage is an established approach in the management of selected cases of cervical insufficiency. The main challenge is to safely insert the cerclage at the level of cervico-isthmic junction, medial to the uterine vessels. This narrated video demonstrated the step-by-step laparoscopic cervico-isthmic cerclage technique using a handheld Berci fascial closure needle to accurately place the suture, medial to the uterine vasculature.