Cerclage
Pronunciation: ser-KLAHZH
A surgical procedure involving placement of sutures around the cervix to prevent cervical incompetence and preterm delivery.
Full Definition
Cervical cerclage is a surgical intervention performed to treat cervical incompetence (cervical insufficiency) by placing permanent or temporary sutures around the cervix to provide mechanical support and prevent premature cervical dilation. The procedure can be performed via transvaginal (McDonald or Shirodkar techniques) or transabdominal approaches. For obstetric anesthesiologists, cerclage placement typically requires neuraxial or general anesthesia, and the presence of a cerclage may influence delivery planning, as it often necessitates removal before vaginal delivery or may indicate the need for cesarean section. Understanding cerclage history is important for anesthetic planning and delivery management.
Usage
Usage note: Always specify whether discussing placement, presence, or removal of cerclage.
In Context
- "The patient's history of cervical cerclage was noted in the anesthetic assessment for delivery planning." — Prenatal anesthesia consultation
- "Cerclage removal was scheduled prior to attempted vaginal delivery." — Obstetric procedure plan