For patients with cervical insufficiency, whether identified during this pregnancy or following a history of loss, Mr Myriknas offers the full spectrum of cerclage procedures.
Mr Myriknas offers transvaginal cerclage (TVC), transabdominal cerclage (TAC), and emergency cerclage, tailored to your individual history and circumstances. Whether you are newly diagnosed, have experienced previous loss, or need a TAC because vaginal placement is no longer possible, he has the expertise to manage your case.
If you are unsure whether cerclage is right for you, a consultation is the right first step. Mr Myriknas will review your history, discuss your options honestly, and help you make a fully informed decision.
Most patients are able to go home the same day. Some light spotting or mild cramping in the first few days is normal. You will be advised to rest and avoid strenuous activity, and in most cases pelvic rest will be recommended for the remainder of the pregnancy. Mr Myriknas will give you clear, personalised guidance at your appointment and you will always have a point of contact if you have any concerns along the way.
A transvaginal cerclage is usually removed at around 36 to 37 weeks in a straightforward outpatient appointment that does not require anaesthetic. A transabdominal cerclage is permanent and is not removed; delivery is by planned caesarean section. If labour begins or your waters break before your planned removal date, contact your care team immediately.
Understanding cervical cerclage: when it is needed, how it is performed, and what to expect during recovery.
Mr Myriknas accepts referrals from GPs and consultant colleagues for cerclage assessment and management, including second-opinion consultations for complex cases, elective and emergency TVC, TAC, pre-pregnancy planning, and complete high-risk pregnancy management. Please contact the practice directly to discuss a referral.
Cervical cerclage is a surgical procedure where a stitch is placed around the cervix to help prevent premature birth or late miscarriage. It provides additional support when there is concern that the cervix might shorten or open too early during pregnancy.
There are three main types. Transvaginal cerclage (TVC) is the most common, placed through the vagina between 12 and 24 weeks. Transabdominal cerclage (TAC) is placed through a small abdominal incision for cases where vaginal placement is not suitable, either before pregnancy or in early pregnancy. Emergency cerclage is performed when cervical changes are detected during pregnancy and immediate intervention is needed.
Cerclage may be recommended if you have had a previous late miscarriage or premature birth, cervical trauma or surgery (such as LLETZ, cone biopsy, or trachelectomy), cervical shortening detected on ultrasound, an unsuccessful previous cerclage, or a diagnosis of cervical insufficiency. Each case is assessed individually at consultation.
All cerclage procedures are performed at The Kensington Wing and The Chelsea Wing, Chelsea and Westminster Hospital, London, a specialist high-risk maternity unit with comprehensive facilities.
Success depends on the type of procedure, timing, and individual circumstances. During your consultation, Mr Myriknas will discuss realistic expectations based on your specific situation and the current evidence. Many patients with a history of loss have gone on to deliver healthy, full-term babies under his care.
Doctify
6 months ago
Dr Myriknas placed my Transabdominal Cerclage in 2020 - due to being diagnosed with an incompetent cervix and suffering a preterm and neonatal loss. The cerclage placed by Dr Myriknas allowed me to confidently deliver three healthy and happy term babies!
Doctify
5 months ago
Stelios is the most wonderful doctor. After being left with very little cervix post LLETZ, Stelios' care and expertise guided me through my cerclage surgery (TAC) and two subsequent pregnancies, in-pregnancy cerclages and C-sections.
Doctify
4 months ago
I was under Dr Stelios's care for my transabdominal cerclage surgery in 2020 (I had a TAC fitted after a radical trachelectomy for cervical cancer) and again throughout my successful pregnancy in 2023.
Doctify
5 months ago
I had a lovely experience with Stelios, from my initial consultation to procedure he listened to my concerns and created the right plan for me and baby.
Doctify
5 months ago
I found Dr Stelios via a Facebook group after going through some issues with an incompetent cervix. I met with him at Chelsea hospital and his warm friendly personality really put me at ease.
Doctify
6 months ago
I had both pregnancies (2021 and 2024) managed under Mr Stelios. The doctor is so professional and full of experience, very patient and pays close attention to detail.
Doctify
4 months ago
At the time of my TAC, performed by another consultant, Stelios gave me his contact details and told me to reach out when I fell pregnant. A year later I did, and from 6 weeks he offered the greatest care.
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