Local injection of diluted vasopressin and aqua dissection at the time
of modified Shirodkar cerclage: Description of a safe and efficient
technique
- Mohamed Rishard
Abstract
Many modifications have been incorporated to original Shirodkar
technique to make the procedure an easy one whilst maintaining its
efficacy. Anecdotal evidence suggest that use of vasoconstrictors before
dissecting bladder base during Shirodkar method could be helpful. We
performed aqua dissection using diluted vasopressin during modified
Shirodkar cerclage in selected patients who required modified Shirodkar
method. Our experience shows that judicious use local injection of
diluted vasopressin to perform aqua dissection during modified Shirodkar
is a safe and efficacious method and would increase the overall quality
of the technique by reducing the blood loss and enhancing plane of
dissection.