Shirodkar's Operation

SHIRODKAR PROCEDURE

Objective

In case of:

•   Spontaneous abortion.

•   An encircling tape ligature at the level of the internal os to strengthen the cervical canal.

Position

Lithotomy.

Anesthesia

Epidural or general.

Procedure

1.  Transverse incision in the vaginal mucosa at junction with the anterior aspect of the cervix.

2.  A similar incision posteriorly.

3.  Tape ligature is passed on a ligature carrier to encircle the cervix.

4.  Tape is tightened and sutured.

5.  The mucosal wounds are closed.

Instruments

•   Dilatation and curettage (D and C) set.

•   Short Heaney retractors (Fig. 10.19).

•   Ligature carrier (Fig. 21.1).

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