Ian Alexander McDonald

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Ian Alexander McDonalds (born 1922 in Perth ; died 1990 ) was an Australian gynecologist and obstetrician .

The McDonald's cervical cerclage was named after him. In 1957 he developed the cerclage to avoid premature births in the case of cervical insufficiency, in which a kind of purse-string suture is placed around the cervix and tied at the front. It's a rather simple process. Since the suture is not placed in the immediate vicinity of the internal cervix due to the vaginal anatomy , it is at least theoretically less effective than other published methods. In practice, only a few studies show significant differences to the Shirodkar method , which he developed in Bombay in 1955. American obstetricians therefore preferred the McDonald's cerclage because of its simpler approach. The procedure has been considered obsolete since the 1980s, as studies have not shown any prolongation of the duration of pregnancy. Only the therapeutic cervical cerclage is applied if the cervix is ​​opened prematurely.

Works

  • Ian A. McDonald: A Method of Obstetrics and Gynecology . Pergamon Press Australia, 1971, ISBN 0-08-017537-6 .

Individual evidence

  1. Th. F. Baskett: On the shoulders of giants: eponyms and names in obstetrics and gynecology . RCOG Press, 1996, ISBN 0-902331-94-9 , pp. 142-143 .
  2. Final report of the Medical Research Council / Royal College of Obstetricians and Gynecologists multicentre randomized trial of cervical cerclage. MRC / RCOG Working Party on Cervical Cerclage. In: British journal of obstetrics and gynecology. Volume 100, Number 6, June 1993, pp. 516-523, ISSN  0306-5456 . PMID 8334085
  3. B. Uhl: Operating Manual Gynecology and Obstetrics: Everything for the operating room and the ward . Georg Thieme Verlag, Stuttgart 2012, ISBN 978-3-13-130832-0 , Chapter 11.1, p. 336 ff .