The patient is placed in the lithotomy position.
The cervix is exposed using a speculum.
A small incision is made in the vaginal mucosa around the cervix.
A non-absorbable suture is placed around the cervix, usually at the level of the internal os.
The suture is tied tightly to provide support to the cervix and prevent premature dilation.
The vaginal mucosa is then closed over the suture.
However, with proper surgical technique and postoperative care, these risks can be minimized.
What is the Recovery Process?
Postoperative recovery typically involves a short hospital stay, usually around 24-48 hours. The patient may experience some cramping and spotting, which is normal.
Follow-up care includes regular prenatal visits to monitor the pregnancy and the integrity of the cerclage. The suture is usually removed around the 37th week of pregnancy or earlier if labor begins.
How Effective is the Shirodkar Technique?
The Shirodkar technique is highly effective in preventing preterm birth in women with cervical incompetence. Studies have shown significant reductions in the rate of preterm births and second-trimester losses among women who have undergone the procedure. However, the success rate can vary depending on individual circumstances and the presence of other risk factors.
Conclusion
The Shirodkar technique is a valuable surgical option for managing cervical incompetence and preventing preterm birth. It is important for patients to discuss the potential benefits and risks with their healthcare provider to determine the best course of action for their individual needs.
