Shirodkar cerclage
Pronunciation: shee-RODE-kar
A type of cervical cerclage placed via submucosal approach, typically requiring cesarean delivery for removal.
Full Definition
Shirodkar cerclage is a surgical technique for cervical insufficiency that involves placing a suture around the cervix using a submucosal approach, where the suture is placed beneath the cervical mucosa rather than around the external cervical surface. This technique was developed by Dr. N.V. Shirodkar and differs from the McDonald cerclage in its placement method and the fact that the knot is typically buried, making removal more complex and often requiring cesarean delivery. The Shirodkar technique may provide better support for the cervix and is sometimes preferred in cases of very short cervix or previous cerclage failure.
Usage
Usage note: Named after N.V. Shirodkar; capitalize as eponym. Note delivery planning implications in documentation.
In Context
- "Given the history of McDonald cerclage failure, a Shirodkar cerclage was planned for this pregnancy." — high-risk obstetrics consultation
- "The Shirodkar cerclage was successfully placed at 14 weeks gestation with good cervical support achieved." — operative report