cervical cerclage

(redirected from McDonald cerclage)

cervical cerclage

The use of ligatures around the cervix uteri to treat cervical incompetence during pregnancy. It is usually performed between 12–14 weeks before the cervix has begun to thin or dilate and is removed towards the end of pregnancy.
See: Shirodkar operation
See also: cerclage

Cervical cerclage

A procedure in which the cervix is sewn closed; used in cases when the cervix starts to dilate too early in a pregnancy to allow the birth of a healthy baby.
References in periodicals archive ?
McDonald cerclage, use of a single stitch, high placement of the cerclage, and an outpatient setting all are supported by evidence, according to this systematic, qualitative review of published studies.
7,8) Furthermore, meta analysis of trials on McDonald cerclage have failed to show a lower rate of preterm delivery before 28 and 34 weeks in women assigned to cervical cerclage.
The use of cervical occlusion along with McDonald cerclage is presented in 26 patients in this study.
A McDonald cerclage was performed with merselene tape under general anesthetic at the level of the internal cervical OS (as described by McDonalds), (16) and total external cervical OS occlusion was performed with nylon 2/0 or 3/0 ethicon suture on a curved needle between 13 and 16 weeks of gestation.
17,18) In this study, which is a prospective observational study of 26 patients who had both McDonald cerclage and early total cervical occlusion; there was only one delivery at 33 weeks and eventual fetal loss.
McDonald cerclage was also performed, achieving a pregnancy of 35 weeks gestation.
Atlas concluded that their study "reaffirms the finding of no improvement in perinatal outcome with the utilization of McDonald cerclage.
The original Shirodkar cerclage and its modifications--but not the McDonald cerclage and its subsequent modifications--included an "anchor" suture attaching the cerclage band to the firm cervical stromal layer as a means to prevent downward slippage and displacement.