cerclage
Pronunciation: sir-KLAHZH
Surgical procedure placing sutures around the cervix to prevent preterm birth due to cervical incompetence.
Full Definition
Surgical intervention involving placement of sutures around the cervix to provide mechanical support and prevent premature cervical dilation during pregnancy. Indicated for cervical incompetence (now termed cervical insufficiency), history of mid-trimester pregnancy loss, or short cervical length detected on ultrasound. Types include prophylactic cerclage (placed electively), rescue cerclage (emergency placement), and abdominal cerclage for failed vaginal procedures. Requires careful monitoring throughout pregnancy and removal before delivery. Success measured by prolongation of pregnancy and improved neonatal outcomes.
Usage
Usage note: Specify type (prophylactic, rescue, abdominal) and indication in surgical documentation.
In Context
- "Prophylactic cerclage was placed at 14 weeks gestation due to prior pregnancy losses." — Obstetric note
- "The cerclage will be removed at 36-37 weeks to allow for vaginal delivery." — Delivery planning note