What type of suture is recommended for cerclage placement?

The recommended choice for cerclage placement is a large, monofilament, nonabsorbable suture due to several important characteristics that align with the procedure's requirements.

Cerclage is a surgical intervention used to support the cervix in cases of cervical incompetence, and it involves placing a suture around the cervix to provide additional structural support. Using a large, monofilament nonabsorbable suture is preferred because:

1. Strength and Durability: Nonabsorbable sutures are designed to maintain their tensile strength over time. In the context of cerclage, where prolonged support of the cervix is necessary, a strong suture is essential to withstand the stresses that arise as the pregnancy progresses.

2. Minimized Tissue Reaction: Monofilament sutures reduce the risk of tissue infiltration and irritation compared to braided sutures. This characteristic helps to minimize the risk of infection and tissue inflammation, which is crucial for maintaining the health of both the mother and fetus.

3. Ease of Placement: The smooth surface of monofilament sutures allows for easier passage through the tissue without causing excessive trauma. This is particularly important in sensitive areas like the cervix.

In contrast, absorb