WOMENS-HEALTH Messages for February, 1998: Re: abdominal cerclage

Re: abdominal cerclage

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Mon, 2 Feb 1998 14:48:02 -0600 (CST)

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In reply to: Jenn: "abdominal cerclage"

At Mon, 2 Feb 1998, Jenn wrote: >
>I'm not quite sure I understand where exactly abdominal cerclages are
>placed. ( Bottom of the uterus or top of the cervix but its done
>abdominally)?

Abdominal cerclages are palced at the level of the internal cervical os (kinda where the lower uterine segment and cervix meet). The bladder must be mobilized (disseced out of the way) for the stitch to be palced in the correct position.

Has this procedure been around for awhile?

Yup -- as long if not few years longer than a vaginal cerclage.

Of the vaginal >cerclages is there research as to one being stronger,more effective than
>the other?

Actually, both ar equally effective BUT if the cervix is especially short, or if a vaginal cerclage has failed in the past, then the abdomianl cerclage is preferred. BTW, vaginal cerclage is called a McDonald, and abdominal is called a Shirodkar. The Shirodkar requires cesarean section for all delivers and is not removed. The McDonald is removed in the office at 37 weeks to allow vaginal delivery -- it must be replaced with each pregnancy.

>
>Thanks Dr. Marchbein for insights to my past questions!

I'm not Dr. M, but I hope I'll do!

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

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In reply to: Jenn: "abdominal cerclage"

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