What does a Shirodkar procedure aim to prevent?

The Shirodkar procedure is primarily aimed at preventing miscarriage, particularly in cases where cervical incompetence is diagnosed. This surgical intervention involves placing a suture around the cervix to support it during pregnancy, thereby reducing the risk of premature opening and loss of the fetus. The procedure is typically performed in the second trimester and is intended to provide structural support to the cervix, which may be too weak to hold a pregnancy successfully.

In contrast, other options do not align with the primary goal of the Shirodkar procedure. Uterine prolapse is a condition related to the support structures of the uterus rather than cervical strength. While vaginal wall incisions may be a consideration during some gynecological surgeries, they are not a direct concern of this procedure. Endoscopic complications relate to issues arising from minimally invasive techniques rather than the specific surgical approach to managing cervical incompetence. Thus, the intention behind the Shirodkar procedure firmly centers on preventing miscarriage due to cervical insufficiency.