cerclage
Pronunciation: ser-KLAHZH
A surgical procedure involving sutures around the cervix to prevent preterm cervical dilation.
Full Definition
Cervical cerclage is a surgical intervention where sutures are placed around the cervix to provide mechanical support and prevent premature cervical opening during pregnancy. The procedure is indicated for cervical insufficiency (incompetence), history of mid-trimester pregnancy loss, or short cervical length detected on ultrasound. Common techniques include McDonald (purse-string) and Shirodkar methods, with placement typically occurring between 12-14 weeks gestation. The sutures are usually removed at 36-37 weeks or earlier if labor begins. This procedure appears in operative reports and high-risk pregnancy documentation.
Usage
Usage note: French origin term; specify technique type (McDonald vs. Shirodkar) when documented.
In Context
- "Emergency cerclage was performed at 20 weeks due to cervical insufficiency." — Surgical operative note
- "The McDonald cerclage placement was scheduled for 13 weeks gestation." — Procedure scheduling documentation