A simplified approach to Shirodkar cerclage procedure

Area of Science:

• Obstetrics and Gynecology
• Surgical Techniques

Background:

• The Shirodkar cerclage is a surgical procedure used to prevent preterm birth.
• Accurate placement of the Mersilene band is crucial for the procedure's success.

Purpose of the Study:

• To describe a technique for successful Shirodkar cerclage using specific surgical instruments.
• To highlight how instrument choice can simplify submucosal band placement.

Main Methods:

• Utilized medium curve White tonsil forceps during the Shirodkar cerclage procedure.
• Employed forceps to compress vaginal mucosa laterally.
• Facilitated accurate submucosal placement of the Mersilene band.

Main Results:

• The described method simplifies the accurate submucosal placement of the Mersilene band.
• The use of White tonsil forceps avoids blind advancement of an aneurysm needle.
• This technique enhances the overall success of the Shirodkar cerclage.

Conclusions:

• The medium curve White tonsil forceps are key to the success of this Shirodkar cerclage technique.
• This method offers a simpler and safer approach to Mersilene band placement.
• Improved surgical accuracy can lead to better outcomes in preventing preterm birth.