Case report demonstrates positive outcomes using modified Shirodkar cerclage in a patient with cervical insufficiency, suggesting its effectiveness over traditional methods.
Cervical insufficiency is an important cause of bad obstetrics history and is preventable. McDonald’s cervical cerclage has been used in obstetrics for a long era to prevent pre-term births. However, there are cases of failed cervical cerclages and then the dilemma arises whether to opt for another vaginal cerclage or a transabdominal cerclage. Each route of cerclage has its own advantages as well as shortcomings, making decisions difficult for clinicians as well as patients. We present the case of a 22-year-old female with previously failed McDonald cervical cerclage who opted for modified Shirodkar cerclage and had a good outcome. This case highlights the benefit of modified Shirodkar cerclage in cases of previously failed cervical cerclages.
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Bharti et al. (2025) studied this question.
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