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Cervical cerclage procedure with dilated cervix

Cervical cerclage procedure with dilated cervix
(A) Membranes herniating through effaced and widely dilated cervix.
(B) Replacement of membranes into the uterus by gentle traction on stay sutures.
(C) Placement of 2 rows of encircling sutures.
(D) Final appearance of the cervix.
Reproduced with permission from Olatunbosun, OA, Dyck, F. Cervical cerclage operation for a dilated cerfix. Obstet Gynecol 1981; 57:166. Reprinted with permission from the American College of Obstetricians and Gynecologists.
Graphic 65600 Version 4.0