Cervical Os Tightening (Cervical Cerclage) Surgery for Incompetent Cervix

 

Cervical Os Tightening (Cervical Cerclage) Surgery for Incompetent Cervix 

-How is it done

-Criteria of patient

-Challenges of surgery

-Precautions after surgery

 

Cervical canal

-Internal os

-External os

Remains closed throughout pregnancy

Opens only during delivery

 

Non absorbable suture on intravaginal part of cervix

 

 

Patient criteria for surgery

-Single or multiple preterm deliveries

-Painless dilatation of cervix

-Preterm onset of labor pains

-Recurrent early spontaneous miscarriages

 

 

Consider Os tightening in

-IVF pregnancy

-Twins gestation

 

Factors to be considered

-Placental position

-Cervical length

 

Consider inherent complications

-Bleeding

-Stimulation of uterus leading to contractions

-Rupture of membranes

-Cut through on cervix

-Injury to cervix

 

 

Suture material used in cervical cerclage

-Merselene tape-wide

-Prolene,Ethilon-cut through

 

When to do os tightening

-End of 1^st trimester-technically easy

-2^nd trimester-technically challenging

 

Laparoscopic cervical cerclage

 

Do no harm first

 

Post operative precautions

-Tocolytics

-Progesterone

-Tranexemic acid

-Complete bed rest till delivery

 

Anesthesia used in os tightening

-Short general anesthesia

-Spinal anesthesia

-Saddle block

Consult Dr.Himani R Gupta for best pregnancy treatment,menses problem,infertility,fibroids in uterus

By

Dr.Himani R Gupta

Gynaecologist & Obstetrician

Director-

Mother ‘n’ Care Clinic &

My Gynaec World

Address: -

Ashirwad Row House

F- 44/32

First Floor, Near Shivaji Chowk

Sector -12, Kharghar, Navi Mumbai, Maharashtra-Pin 410210

Phone

+91-9136515335

+91-7506027299

Email

motherncareclinic919395@gmail.com

LINKS

Web

himanidsgupta.com

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 / dr_himani_gupta  

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