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Re: Apparent Cerclage FailureFrom: Marco A. Pelosi, III, MD (marcop@tao.agoron.com)Thu May 7 16:52:23 1998
At Thu, 7 May 1998, DoctorJoe wrote: > >If I remember, this modified Shirodkar is illustrated in Plauche's "Operative >Obstetrics" by Saunders. Nice pictures taken by one of my techs of one of my >former residents... > >Joe P. Joe, The pictures of the Shirodkar are A-1. However, the McDonald cerclage photos on the following page do not illustrate McDonald's technique, but rather a modification which is arguably more ischemic to the distal cervix. The original McDonald procedure was based on the Loveset pursestring and both techniques clearly described the deliberate passage of the 3:00 and 9:00 cervical areas deep to the descending branches of the uterine arteries to minimize arterial compression. The concept is identical to that of transabdominal cerclage. McDonald IA. J Obstet Gynaecol Brit Emp 1957;64:346. Loveset J. Acta Obstet Gynecol Scand 1959;38:551.
-- M.A. Pelosi, III, MD
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