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A Shirodkar cerclage is very similar to the standard cervical cerclage, but the sutures pass through the walls of the cervix so they're not exposed.This type of cerclage is less common and technically more difficult than a McDonald, and is thought (though not proven) to reduce the risk of infection.
A McDonald cerclage, described in 1957, is the most common, and is essentially a pursestring stitch used to cinch the cervix shut; the cervix stitching involves a band of suture at the upper part of the cervix while the lower part has already started to efface. [2] This cerclage is usually placed between 16 weeks and 18 weeks of pregnancy.
Cervical weakness can be treated using cervical cerclage, a surgical technique that reinforces the cervical muscle by placing sutures above the opening of the cervix to narrow the cervical canal. [8] Cerclage procedures usually entail closing the cervix through the vagina with the aid of a speculum. Another approach involves performing the ...
A common treatment is cervical cerclage or stitch when a suture is stitched around the opening of the cervix around 12–14 weeks into the pregnancy. [1] A cervical pessary is being studied as an alternative to cervical cerclage since there are fewer potential complications. [2]
Cervical conization refers to an excision of a cone-shaped portion of tissue from the mucous membrane of the cervix. Conization is used for diagnostic purposes as part of a biopsy and for therapeutic purposes to remove pre-cancerous cells (cervical intraepithelial neoplasia) or early stage cervical cancer. [1] Types include: [2] [3]
The loop electrosurgical excision procedure (LEEP) is one of the most commonly used approaches to treat high grade cervical dysplasia (CIN II/III, HGSIL) and early stage cervical cancer discovered on colposcopic examination. In the UK, it is known as large loop excision of the transformation zone (LLETZ). It is considered a type of conization. [1]
[1] The main goal of colposcopy is to prevent cervical cancer by detecting and treating precancerous lesions early. Human Papillomavirus (HPV) is a common infection and the underlying cause for most cervical cancers. Smoking also makes developing cervical abnormalities more likely.
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