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Cervical circlage
Discussion in 'All Categories' started by Chinki - Jan 5th, 2024 8:53 am.
I am suffering from Cervical circlage. Can you explain the cervical cerclage procedure in detail?
re: Cervical circlage by Dr. B. S. Bhalla - Jan 5th, 2024 9:00 am
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Cervical cerclage is a surgical procedure used to treat or prevent cervical insufficiency during pregnancy. Cervical insufficiency occurs when the cervix, which is the lower part of the uterus, is weak and opens too early, leading to the risk of premature birth. Cervical cerclage is typically performed during the second trimester of pregnancy.

Here's an overview of the cervical cerclage procedure:


Previous preterm birth or second-trimester pregnancy loss due to cervical insufficiency.
Shortened cervix observed during ultrasound.
History of cervical surgery or trauma that may weaken the cervix.
Structural abnormalities of the cervix.

Cervical cerclage is usually performed between weeks 12 and 14 of pregnancy, but it can be done later in certain cases.
Types of Cervical Cerclage:

McDonald Cerclage: The most common type, involves placing a non-absorbable suture around the cervix in a purse-string fashion.
Shirodkar Cerclage: The suture is placed deeper within the cervix and is often a permanent stitch.

The patient is usually placed in a litho-tomy position, similar to the position used during a pelvic exam.
The procedure can be performed under general or regional anesthesia.
The cervix is visualized using a speculum, and the bladder is sometimes emptied with a catheter to provide better access to the cervix.
The surgeon measures the cervix and places the sutures around it according to the chosen technique (McDonald or Shirodkar).
The sutures are then tied securely to create a supportive band around the cervix.

Bed rest may be recommended for a short period following the procedure.
Monitoring of the cervix through regular ultrasounds may be necessary.
The sutures may be removed around week 37 of pregnancy if they are of the non-absorbable type.
Risks and Considerations:

Infection or bleeding at the surgical site.
Premature rupture of membranes.
Preterm labor.
Difficulty with future pregnancies or deliveries.
re: Cervical circlage by Ranjeetha - Feb 8th, 2024 5:24 am
My doctor suggest surgical procedure for Cervical circlage. What restrictions or precautions should I follow after the procedure?
re: Cervical circlage by Dr. Bishal - Feb 8th, 2024 5:44 am
Dr. Bishal
Dr. Bishal
Here are some general restrictions and precautions that patients typically follow after the procedure:

Avoid heavy lifting: Your doctor will likely advise you to avoid lifting heavy objects or engaging in strenuous physical activities for a certain period of time after the procedure. Heavy lifting can put strain on the cervix and may increase the risk of complications.

Avoid se-xual activity: Your doctor may recommend refraining from se-xual intercourse for a period of time after cervical cerclage to allow the cervix to heal properly. Engaging in s-exual activity too soon could potentially disrupt the cerclage or cause complications.

Rest and limit physical activity: It's important to rest and avoid excessive physical activity in the days following the procedure. Your doctor may recommend limited activity or bed rest to promote healing.

Stay hydrated: Drinking plenty of fluids can help prevent dehydration and promote healing after surgery. Make sure to stay hydrated, but avoid excessive caffeine or alcohol consumption, as these can interfere with healing.

Take prescribed medications: Your doctor may prescribe medications such as antibiotics or pain relievers to help prevent infection and manage any discomfort or pain after the procedure. Make sure to take these medications as directed.

Attend follow-up appointments: It's important to attend all scheduled follow-up appointments with your doctor to monitor your recovery and ensure that the cerclage is functioning as intended. Your doctor may perform cervical checks or other tests to assess the effectiveness of the cerclage.

Watch for signs of complications: Be vigilant for any signs of infection, such as fever, increased pain, redness, swelling, or abnormal discharge. Contact your doctor immediately if you experience any concerning symptoms.

Follow dietary recommendations: Eating a healthy, balanced diet can support healing after surgery. Your doctor may provide dietary recommendations or restrictions to promote recovery.

Avoid smoking: If you smoke, it's important to quit or avoid smoking entirely after cervical cerclage. Smoking can impair healing and increase the risk of complications.
re: Cervical circlage by Pinki - Jun 6th, 2024 10:51 am
I have a problem of cervical circlage and I am going to get surgery for it are there any specific instructions I need to follow before and after the surgery?
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