Case Report

Vaginal cervicoisthmic cerclage for cervical incompetence in pregnant women: Fernandez’s technique in 8 steps

Margaux Jegaden, Elodie Debras, Anne-Gaëlle Pourcelot, Marie-Emmanuelle Neveu, Perrine Capmas and Hervé Fernandez*

Published: 12 November, 2021 | Volume 5 - Issue 2 | Pages: 032-033

Video objective: To demonstrate that surgical technique of vaginal cervicoisthmic cerclage must be performed in women with history of cervical incompetence with more than two late miscarriages before 24 weeks or premature deliveries before 28 weeks and after prior failure of preventive Mc Donald cerclage. In this video, the authors describe the complete procedure in 8 steps to standardize and facilitate the procedure in a simple and safe way during pregnancy. 
Design: Step-by-step video demonstration of the surgical technique.
Setting: Tertiary Center for University Hospital.

Read Full Article HTML DOI: 10.29328/journal.acr.1001054 Cite this Article Read Full Article PDF


Ambulatory care; Cervical incompe tence; Failure of Mac Donald cerclage; Surgical technique; Vaginal way


  1. Neveu ME, Fernandez H, Deffieux X, Senat MV, Houllier M, et al. Fertility and pregnancy outcomes after transvaginal cervico-isthmic cerclage. Eur J Obstet Gynecol Reprod Biol. 2017; 218: 21-26. PubMed: https://pubmed.ncbi.nlm.nih.gov/28926726/


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