title: McDonald cerclage under pudendal nerve block.
abstract: OBJECTIVE
  The purpose of our study was to evaluate McDonald cerclage placement with pudendal anesthesia. Patient pain and hospital charges were analyzed and compared with a control group.
  
  
  METHODS
  This was a prospective, nonrandomized study. Pain was evaluated with a visual analog scale. Two groups were compared with the Student t test.
  
  
  RESULTS
  Of 69 patients, 20 had cerclage with pudendal anesthesia; 49 served as control and had cerclage with regional anesthesia. There were no statistical differences in pain between the two groups or complications from pudendal anesthesia, and there was a large cost savings.
  
  
  CONCLUSIONS
  All 20 patients had McDonald cerclage placed successfully with pudendal anesthesia. McDonald cerclage can be easily and safely placed under pudendal anesthesia, resulting in cost savings and improved use of time and resources for the patient and her physician.
authors.affiliation: Department of Obstetrics and Gynecology, Lutheran General Hospital, Park Ridge, IL 60068.
authors.forename: B
authors.initials: B
authors.lastname: McCulloch
authors.forename: S
authors.initials: S
authors.lastname: Bergen
authors.forename: B
authors.initials: B
authors.lastname: Pielet
authors.forename: J
authors.initials: J
authors.lastname: Keller
authors.forename: H
authors.initials: H
authors.lastname: Elrad
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D005260:Female; D005836:Genitalia, Female / Q000294:innervation*; D006801:Humans; D008026:Ligation; D009407:Nerve Block; D010147:Pain Measurement; D010166:Palliative Care; D011247:Pregnancy; D011795:Surveys and Questionnaires; D002581:Uterine Cervical Incompetence / Q000601:surgery*