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Cervical Cerclage in Pregnancy

The cervix, normally closed during pregnancy, provides vital support to the growing fetus. Cervical insufficiency occurs when the cervix weakens prematurely, increasing the risk of adverse outcomes. Indications for Cervical Stitch: Cervical stitch, or cerclage, is recommended for women at risk due to: 1. **History of Preterm Birth:** Especially in the second trimester. 2. **Previous Pregnancy Losses:** Recurrent second-trimester losses may indicate cervical strength issues. 3. **Anatomical Factors:** An unusually short cervix or other factors increasing the risk of cervical insufficiency. 4. **Previous Cervical Trauma:** Trauma or surgery, like a cone biopsy, can weaken cervical tissues. Procedure: Done between the 12th and 14th week, it involves: 1. **Evaluation:** Thorough assessment, including a pelvic exam and ultrasound, to determine candidacy. 2. **Placement of Stitch:** A stitch around the cervix for added support, either transvaginally or transabdominally. 3. **Monitoring:** Regular ultrasound and assessments post-procedure to ensure the stitch holds and pregnancy progresses well. Risks and Considerations: While generally safe, considerations include: 1. **Infection:** Strict hygiene and sterilization protocols at Sukhayu Hospital minimize infection risks. 2. **Preterm Rupture of Membranes:** Rare, but carefully considered before recommending cerclage. 3. **Cervical Laceration:** Minimal risk, managed by experienced healthcare professionals. 4. **Allergic Reactions:** Thorough medical history assessments to identify potential allergies. Sukhayu Hospital's Approach: Ensuring safety is a priority with: 1. **Expert Consultation:** Detailed evaluation considers medical history and existing risk factors. 2. **State-of-the-Art Facilities:** Advanced technology ensures precision in every aspect of the procedure. 3. **Comprehensive Monitoring:** Regular monitoring through ultrasound and diagnostic tools. 4. **Patient Education:** Detailed information empowers informed decision-making. Conclusion: Pregnancy is transformative, and Sukhayu Hospital recognizes the importance of comprehensive care. Cervical insufficiency can be managed effectively with procedures like cervical stitch. Sukhayu's expert team is committed to personalized care, advanced technologies, and prioritizing patient education for a safe journey to motherhood. For concerns, reach out to Sukhayu Hospital. They are dedicated to supporting your journey every step of the way.

Orthopedic Surgery for Fractures

ORIF is performed by our orthopaedic surgeon. The surgery is used to fix fractures in the arms and legs, including bones in the shoulder, elbow, wrist, hip, knee, and ankle. Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. It’s only used for serious fractures that can’t be treated with a cast or splint. These injuries are usually fractures that are displaced, unstable, or those that involve the joint. “Open reduction” means a surgeon makes an incision to re-align the bone. “Internal fixation” means the bones are held together with hardware like metal pins, plates, rods, or screws. After the bone heals, this hardware isn’t removed. Generally, ORIF is an urgent surgery. Your doctor might recommend ORIF if your bone: breaks in multiple places moves out of position sticks out through the skin ORIF may also help if the bone was previously re-aligned without an incision — known as closed reduction — but didn’t heal properly. The surgery should help reduce pain and restore mobility by helping the bone heal in the right position. Despite the increasing success rate of ORIF, recovery depends on your: age health condition post-surgery rehabilitation severity and location of the fracture Depending on your fracture and risk for complications, your procedure might be done immediately or scheduled in advance.

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