Cervical Cerclage Specialist in London

Why Choose Mr Myriknas for Cervical Cerclage?

Cervical cerclage is a delicate procedure that requires both technical expertise and a deep understanding of high-risk pregnancy management. Mr Myriknas has dedicated his career to supporting women through complex pregnancies, offering personalised care that combines advanced medical skill with genuine compassion.

When you are facing the possibility of cervical cerclage, you need more than just a surgeon – you need a trusted, experienced professional who will guide you through every decision, answer all your questions, and provide continuous support throughout your pregnancy journey.

Comprehensive Cerclage Services

Mr Myriknas offers the full spectrum of cervical cerclage procedures, tailored to your individual circumstances:

Transvaginal Cerclage (TVC)

The most common form of cervical stitch, placed through the vagina between 12-24 weeks of pregnancy. This procedure is suitable for most women who need cervical support and can be performed with either spinal or general anaesthetic. The stitch is typically removed at 36-37 weeks, allowing for natural delivery or at 39 weeks at the time of the Caesarean section.

Transabdominal Cerclage (TAC)

For women who have had unsuccessful transvaginal cerclage or where vaginal placement is not possible, TAC offers an alternative approach. This permanent stitch is placed higher on the cervix through a small abdominal incision, either before pregnancy or in early pregnancy. Mr Myriknas performs TAC procedures with meticulous precision, using minimally invasive techniques when appropriate.

Emergency Cerclage

When cervical shortening or opening is detected during pregnancy, emergency cerclage may be offered. This requires careful assessment and expert judgement to determine the best course of action for you and your baby.

Who Needs Cervical Cerclage?

You may benefit from cervical cerclage if you have:

• Previous late miscarriage or premature birth
• A history of cervical trauma or surgery (such as LLETZ, cone biopsy, trachelectomy)
• Cervical cerclage in a previous pregnancy
• Cervical shortening detected on ultrasound during pregnancy
• A diagnosis of cervical insufficiency or incompetence
• Previous full dilatation Caesarean section
• Congenital cervical abnormalities

Each pregnancy is unique, and the decision to proceed with cerclage is always made after thorough discussion of your medical history, current situation, and individual risk factors. Mr Myriknas takes time to ensure you understand all your options and feel confident in the recommended approach.

Your Care Journey

When you choose Mr Myriknas for cervical cerclage, you can expect comprehensive, personalised care at every stage:

Initial Consultation

A detailed discussion of your pregnancy history, examination, and review of any scans or test results. Together, you will develop a clear care plan tailored to your circumstances. Understanding your high-risk pregnancy status helps inform the best approach.

Pre-Procedure Planning

Comprehensive preparation including any necessary tests, clear instructions for the day of surgery, and answers to all your questions. You will know exactly what to expect and feel fully prepared.

Expert Surgical Care

The procedure is performed at Chelsea and Westminster Hospital, using the most appropriate technique for your situation. Mr Myriknas' precision and experience ensure optimal stitch placement and the best possible outcomes.

Ongoing Pregnancy Support

Regular monitoring throughout your pregnancy with direct access to Mr Myriknas whenever you need reassurance or have concerns. Careful fetal monitoring ensures your baby's wellbeing is closely tracked.

Delivery Planning

Whether you are planning vaginal delivery after transvaginal cerclage removal or Caesarean section with TAC, every detail is carefully planned. For those considering natural birth options or needing Caesarean section, Mr Myriknas provides expert guidance.

What Sets This Practice Apart

Choosing where to have your cervical cerclage is an important decision. Here is what makes Mr Myriknas' practice unique:

Specialist Expertise

With over 15 years of experience in obstetrics and gynaecology, including specialist training at Chelsea and Westminster Hospital, Mr Myriknas has extensive experience in both straightforward and complex cerclage procedures.

Personalised Care

You are not just another appointment in a busy clinic. Mr Myriknas takes time to understand your concerns, explain your options clearly, and involve you fully in decisions about your care. If you have a birth partner, they play an important role too – learn how they can best support you.

Comprehensive High-Risk Pregnancy Management

Cervical cerclage is often just one aspect of managing a high-risk pregnancy. Mr Myriknas provides complete care throughout your pregnancy, coordinating all aspects of your treatment.

Direct Access

You will have Mr Myriknas' mobile number for direct communication throughout your pregnancy. When you have concerns or questions, you can reach your consultant directly.

State-of-the-Art Facilities

All procedures are performed at Chelsea and Westminster Hospital, one of London's leading maternity units with comprehensive facilities for high-risk pregnancies.

Success Rates and Outcomes

The success of cervical cerclage depends on many factors, including the type of procedure, timing of placement, and individual circumstances. Mr Myriknas' experience and careful patient selection contribute to excellent outcomes, with over 95% of women going on to deliver healthy, full-term babies.

During your consultation, Mr Myriknas will discuss realistic expectations based on your specific situation and the latest evidence-based outcomes for cervical cerclage procedures.

Planning for Future Pregnancies

If you have had cervical cerclage in a previous pregnancy, or if you are considering having a stitch placed before conception, Mr Myriknas can provide expert guidance on your options for future pregnancies. Early planning and specialist care from the beginning of your next pregnancy can help optimise outcomes.