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Related Experiment Video

Updated: Jun 21, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Labor outcomes after Shirodkar cerclage.

Nathan S Fox1, Andrei Rebarber, Samuel Bender

  • 1Maternal Fetal Medicine Associates, PLLC, 70 East 90th Street, New York, NY 10128, USA. nfox@mfmnyc.com

The Journal of Reproductive Medicine
|July 31, 2009
PubMed
Summary

Women receiving a Shirodkar cerclage before labor experienced a higher cesarean delivery rate, particularly for fetal reasons. This procedure also correlated with increased risks of uterine rupture and umbilical cord prolapse.

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Area of Science:

  • Maternal-Fetal Medicine
  • Obstetrics
  • Surgical Interventions in Pregnancy

Background:

  • Cervical insufficiency is a significant cause of preterm birth.
  • Shirodkar cerclage is a surgical procedure to prevent premature cervical dilation.

Purpose of the Study:

  • To evaluate labor and delivery outcomes in singleton pregnancies after Shirodkar cerclage removal.
  • To identify potential complications associated with this cerclage removal before labor.

Main Methods:

  • Retrospective review of 69 singleton pregnancies with Shirodkar cerclage placed before 24 weeks' gestation.
  • Analysis of indications for cerclage (history, ultrasound, or physical examination).
  • Assessment of delivery timing, cesarean rates, and specific maternal/neonatal complications.

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Last Updated: Jun 21, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Main Results:

  • Mean time from cerclage removal to delivery was 9.4 days.
  • Overall cesarean delivery rate was 18.8%, with most due to fetal indications.
  • Complications included uterine rupture (2.9%), umbilical cord prolapse (2.9%), and cervical laceration (5.8%).

Conclusions:

  • Shirodkar cerclage removal prior to labor is associated with an elevated cesarean delivery rate for fetal indications.
  • The procedure may increase the risk of neonatal morbidity, including uterine rupture and cord prolapse.