Related Experiment Videos
The Shirodkar operation: a reappraisal.
F J Frieden1, S A Ordorica, I A Hoskins
1Department of Obstetrics and Gynecology, New York University School of Medicine, NY 10016.
American Journal of Obstetrics and Gynecology
|September 1, 1990
Summary
Shirodkar cerclage effectively prevents preterm birth in women with cervical incompetence. This surgical procedure demonstrated a 100% perinatal survival and 88% term delivery rate with minimal complications.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Cervical incompetence is a significant cause of preterm birth.
- Effective interventions are crucial for improving pregnancy outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of the Shirodkar cerclage procedure in patients with cervical incompetence.
- To assess the impact of cerclage on term delivery rates and perinatal survival.
Main Methods:
- Retrospective analysis of 66 Shirodkar cerclage procedures performed by a single surgeon in 46 patients.
- Data collection on operative details, postoperative complications, gestational age at delivery, and perinatal outcomes.
Main Results:
- Mean operative blood loss was 25 ml and mean operating time was 18 minutes, with no postoperative morbidity.
- 88% of pregnancies resulted in term delivery (≥37 weeks), and 100% corrected perinatal survival was achieved.
- No cesarean deliveries were attributed to the Shirodkar suture.
Conclusions:
- The Shirodkar cerclage is a safe and highly effective procedure for managing cervical incompetence.
- This intervention significantly improves pregnancy duration and neonatal survival rates.