cerclage
Pronunciation: ser-KLAHZH
Surgical procedure involving placement of sutures around the cervix to prevent cervical insufficiency and preterm birth.
Full Definition
Cervical cerclage is a surgical intervention that involves placing sutures (typically non-absorbable) around the cervix to provide mechanical support and prevent premature cervical dilatation. There are several types of cerclage: prophylactic (history-indicated), urgent (ultrasound-indicated), and rescue (physical exam-indicated). The procedure can be performed via transvaginal approach (McDonald or Shirodkar techniques) or transabdominal approach for complex cases. Indications include history of cervical insufficiency, short cervical length on ultrasound, or progressive cervical changes in the absence of contractions. Potential complications include rupture of membranes, preterm labor, bleeding, and infection. The cerclage is typically removed at 36-37 weeks gestation or earlier if complications arise.
Usage
Usage note: French pronunciation; distinguish from cervical pessary which is non-surgical.
In Context
- "McDonald cerclage was placed at 14 weeks due to history of second-trimester loss." — Operative report
- "The cerclage was removed at 37 weeks in preparation for delivery." — Procedure note