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Advanced Cervical Cerclage Surgery

Cervical cerclage is a surgical procedure done during pregnancy where doctors stitch the cervix closed. This helps prevent the cervix from opening too early, which can lead to miscarriage or preterm birth.

Cervical cerclage surgery reduces the risk of preterm birth in high-risk women and may decrease perinatal deaths. The surgery typically helps in preventing the second-trimester pregnancy loss.

Why Care Group Hospitals is Your Top Choice for Cervical Cerclage Surgery in Hyderabad

CARE Hospitals provides obstetric care, including:

  • Emergency services available 24 hours a day for high-risk pregnancies
  • Gynaecologists who specialise in cervical insufficiency treatment
  • Medical procedures that follow established clinical standards
  • Our modern operation theatres and advanced fetal monitoring help us care for both mother and baby with confidence. 

Best Cervical Cerclage Surgery Doctors in India

Cutting-edge Surgical Innovations at Care Hospital

At CARE Hospitals, our expert gynaecologists use gentle, less invasive techniques—like vaginal or laparoscopic methods—so that your recovery is smoother, with less discomfort and more ease during a delicate time in your pregnancy. The hospital offers HD laparoscopy units for precise surgical procedures. 

Indications for Cervical Cerclage Surgery

Your doctor might recommend cervical cerclage if you have:

  • Cervical insufficiency (a weak cervix)
  • History of second-trimester pregnancy loss or miscarriage
  • Signs that your cervix is opening too early

Types of Cervical Cerclage Procedures

Several cerclage techniques include:

  • McDonald Cerclage: A purse-string suture placed at the junction between the cervix and vagina
  • Shirodkar Technique: Requires dissection of vaginal tissue to place the suture higher on the cervix
  • Transabdominal Cerclage: Performed through the abdomen, typically for women who have had unsuccessful vaginal cerclage

Generally, the procedure takes about 30 minutes to complete. 

Pre-Cervical Cerclage Surgery Preparation

Preparing for cervical cerclage requires careful medical assessment. 

Before the procedure, your doctor will:

  • Review your medical history and past pregnancies
  • Perform an ultrasound to check your baby's health
  • Take cervical swabs to check for infections
  • May prescribe antibiotics if an infection exists

Tell your doctor about any medications you take, including vitamins and supplements. Mention any allergies or previous reactions to anaesthesia.

Cervical Cerclage Surgical Procedure

Steps include:

  • The surgical team will position you on an examination table
  • The doctor will give local anaesthesia to numb the cervix
  • Your doctor stitches the cervix closed with strong sutures

The surgery uses either a transvaginal (through the vagina) or transabdominal (through the belly) approach.

Post-surgery Recovery

Recovery typically includes:

  • Rest on the day of the procedure
  • Avoiding strenuous exercises for 10 days
  • Abstaining from sexual intercourse until stitches heal
  • Light bleeding or spotting for a few days

Contact your gynaecologist if you experience severe cramping, heavy vaginal bleeding, or signs of infection such as fever or unusual discharge.

Risks and Complications

Most women experience no complications. Some possible complications in rare cases include:

  • Infection 
  • Bleeding 
  • Cervical trauma 
  • Premature rupture of membranes

Benefits of Cervical Cerclage Surgery

The procedure has a high success rate, effectively:

  • Preventing preterm labour
  • Reducing the risk of miscarriage
  • Supporting full-term pregnancy

These benefits make cervical cerclage an important option for women with cervical insufficiency.

Insurance Assistance for Cervical Cerclage Surgery

Most insurance plans cover medically required cervical cerclage. Talk to your insurance company to verify your coverage details and understand any out-of-pocket costs.

Second Opinion for Cervical Cerclage Surgery

Given the specialised nature of this procedure, seeking a second opinion from an experienced specialist can help you make an informed decision about your care.

Conclusion

Cervical cerclage provides an effective treatment option for women with cervical insufficiency. The procedure has high success rates, helping women carry their pregnancies to full term. Recovery requires following your doctor's instructions carefully. Most women need minimal downtime after the procedure. You have to avoid strenuous activities and sexual intercourse during the healing period. These temporary restrictions help ensure the best outcome for you and your baby.

The procedure offers hope to women who have experienced pregnancy loss due to cervical insufficiency. With proper medical care and monitoring, cervical cerclage helps many women achieve successful pregnancies and healthy babies.

Talk to your doctor if you have concerns about cervical insufficiency or previous pregnancy losses. They can evaluate your situation and discuss whether cervical cerclage might benefit your pregnancy. Early consultation allows for proper planning and the best possible outcomes.

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Cervical Cerclage Surgery Hospitals in India

Frequently Asked Questions

Cervical cerclage is a surgical procedure where doctors stitch the cervix during pregnancy. This prevents the cervix from opening too early, which could result in miscarriage or premature birth.

The doctor generally recommends cervical cerclage if you have:

  • History of second-trimester pregnancy loss
  • Cervix shorter than 25 millimetres before 24 weeks
  • Previous cervical procedures like LEEP or cone biopsy
  • The possibility of cervix opening in the second trimester

Candidates typically include women with:

  • Cervical insufficiency (weak cervix)
  • Previous second-trimester losses
  • Cervical length less than 25mm before 24 weeks

Yes, cervical cerclage has a high success rate. Complications associated with this surgery might be occurring in rare instances.

The procedure itself isn't painful because doctors use anaesthesia. You may experience mild cramping afterwards, similar to menstrual pain.

The surgery typically takes 30-60 minutes to complete.

No, it's not considered a major procedure. Most patients go home the same day.

Potential risks include:

  • Infection
  • Bleeding
  • Premature rupture of membranes
  • Cervical trauma
  • Preterm labour

Most women recover quickly after cervical cerclage. Expect mild cramping and light spotting for up to 3 days. Your doctor typically recommends 2-3 days of bed rest. Follow-up appointments usually occur within 1-2 weeks after the procedure.

Research shows cervical cerclage has no negative long-term effects on children. The procedure is not an independent risk factor for neurological, endocrine, gastrointestinal, or cardiac problems in offspring.

Your doctor may use several types of anaesthesia:

  • Local anaesthesia to numb the cervix
  • Spinal anaesthesia for quick, reliable pain relief
  • Epidural anaesthesia as an alternative
  • General anaesthesia for anxious and complex cases

Cervical cerclage isn't suitable for women with:

  • Preterm labour or contractions
  • Unexplained vaginal bleeding
  • Uterine infection
  • Ruptured amniotic sac
  • Multiple pregnancies (high-order pregnancy)

Travelling is generally permitted after 28 weeks. Choose smooth travel over cars when possible. If you must travel by car, avoid bumpy roads and take regular breaks.

Yes. Having had a cerclage previously may indicate the need for one in subsequent pregnancies.

Avoid these activities:

  • Inserting anything into your vagina
  • Strenuous activities
  • Sexual activities without your doctor's approval
  • Holding urine (keep your bladder empty)

Normal delivery is possible with transvaginal cerclage. However, transabdominal cerclage requires a caesarean section. Your doctor typically removes the cerclage stitch around 36-37 weeks.

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