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 1st
trimester-technically easy
-2nd
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
motherncareclinic919395@gmail.com
LINKS
Web
himanidsgupta.com
/ dr_himani_gupta
/ motherncarekharghar

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