Dr. Sunila Khandelwal is a very famous Obstetrician & Gynaecologist in Jaipur. Currently, she is working as a consultant at Fortis Escorts Hospital Jaipur. With an experience of more than 38 years, she specializes in the treatment of fertility Conserving Procedures, Gynaec Laparoscopy, Gynaecological Endoscopy, Complicated Pregnancy Treatment, and Cervical Cerclage. She has completed her training in the USA & UK and pioneered the first menopause clinic in Rajasthan. She also developed Risk Score assessment tools for bone health, heart disease, and cancers. Family welfare, Gyneac diseases, high-risk Obstetrics, and menopausal medicine are some of the fields where her interest lies. She has been regularly contributing to articles on women's health in leading Magazines & News Papers. Dr. Sunila Khandelwal is also recognized for her publications in national & international peer-reviewed journals. Her contribution as an Executive Producer of the documentary film 'SUMANGLA' is praiseworthy. Using her immense knowledge and experience she published a Booklet 'Stay Healthy after 40' on cancer prevention, nutrition, exercise, menopause, and osteoporosis.
Cervical Cerclage
It comprises a variety of procedures where sutures or synthetic tape is used to reinforce the cervix during pregnancy. The cervix is the part located beneath the uterus that opens to the vagina. It can be done either through the vagina or through the abdomen. If your cervix is at risk of opening too early or before the baby is ready to be born the doctor will recommend cervical cerclage. However, it is neither appropriate nor recommended for everyone. It may not always work and can leave serious side effects.
About The Procedure
In this procedure, a speculum is inserted into the vagina and the cervix is grasped with ring forceps. An ultrasound is required for the correct guidance. The two common techniques used will likely be the McDonald's operation or the Shirodkar operation. In the McDonald operation, a needle is used to put stitches around the outside of the cervix that is tied to the ends of the sutures to close your cervix.
For Shirodkar's operation, a ring of forceps is made use of to pull your cervix toward her while pulling back the sidewalls of the vagina. A small incision will be made in the cervix where it meets the vaginal tissue. Then a needle will be passed along with tape through the incisions and tie the cervix closed. Stitches might also be used to reposition vaginal tissue affected by the incisions.
In case of a transabdominal cervical cerclage, an abdominal incision will be made to elevate the uterus to gain better access to the cervix. A needle will then be used to place tape around the narrow passage connecting the lower part of the uterus to the cervix and tie the cervix closed. The uterus will be set back into place and the incision will be closed.
Post-Procedure
To check the baby’s well-being an ultrasound will be done by the doctor. It's normal to experience some spotting, cramps, and painful urination for a few days. Passage of the material in two to three weeks will also be observed if there are stitches to reposition vaginal tissue.
Take Away
This procedure reduces the risk of having a premature baby but still, its effectiveness is a matter of debate. For detailed inquiries, you can contact Dr. Sunila Khnadelwal one of the best gynaecologists in Jaipur. You can see her at Fortis Escorts Hospital Jaipur.
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