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What is the Shirodkar technique for cervical cerclage?
GaleEncyofSurgery
A permanent "purse-string" stitch around the cervix; so a cesarean section is used to deliver the baby. Most Shirodkar cerclages now have a modified technique that allows for suture removal later.
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∙ 13y ago
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What are other methods of cervical cerclage?
Other methods of cervical cerclage include Shirodkar cerclage, McDonald cerclage, and Arabin cerclage. Shirodkar cerclage involves placing a permanent suture around the cervix, McDonald cerclage uses a purse-string technique with a removable suture, and Arabin cerclage involves placing a silicone band around the cervix. Each method has its own advantages and indications depending on the patient's specific situation.
What is cervical cerclage?
A cervical cerclage is a minor surgical procedure in which the opening to the uterus (the cervix) is stitched closed in order to prevent a miscarriage or premature birth.
What is cervical cerclage used for?
Cervical cerclage is used to treat cervical insufficiency. This treatment is usually done during the second trimester of pregnancy for women who have had miscarriages in the past or is carrying multiple offspring.
What is the McDonald technique for cervical cerclage?
The McDonald technique for cervical cerclage involves placing a suture around the cervix to help support it and prevent premature birth. It is a commonly used method that is simpler and quicker compared to other cerclage techniques. The suture is usually placed high on the cervix and is typically removed around 36-37 weeks of pregnancy.
Which patients are ineligible for cervical cerclage?
Women who are more than 1.5 in (4 cm) dilated, who have already experienced rupture of membranes, or whose fetus has died are ineligible for cerclage.
How soon will you deliver once the cervical cerclage is removed?
they say between 1 -2 days but this is not for certain
What is the procedure for abdominal cerclage?
The patient will usually receive regional (epidural or spinal) anesthesia during the procedure, although general anesthesia is sometimes used. Then usually either the McDonald or Shirodkar technique is used.
When is an emergent cerclage performed?
Emergent cerclages are those placed later in pregnancy when cervical changes have already begun.
Is there a difference in sitting vs laying down with an emergent Cervical Cerclage?
i have done one before and i find more comfort in lying down than sitting at least bdays after doing the stitch( 3-7 days) i highly recommend lying down at least the first few days after the cervical cerclage
What is the mobidity rate associated with cervical cerclage?
About 1-9% of women will experience premature labor after cerclage. About 10-30% of premature babies survive at 22 weeks, increasing to 50% at 24 weeks, and 95% by 26 weeks.
What is the success rate for the cervical cerclage procedure?
The success rate for is about 80-90% for elective cerclages, and 40-60% for emergent cerclages. A cerclage is considered successful if labor and delivery is delayed to at least 37 weeks (full term).
What are the risk factors of cervical cerclage?
Risks associated with anesthesia, premature labor, infection, cervical rupture (may occur if the stitch is not removed before onset of labor), injury to the cervix or bladder, bleeding.
