CPT® Code 57720

A trachelorrhaphy, also known as a plastic repair of the uterine cervix, is a surgical procedure that aims to repair lacerations or injuries to the cervix, which is the lower part of the uterus that opens into the vagina. This procedure is performed through a vaginal approach, allowing direct access to the cervix. During the operation, the surgeon first exposes the cervix and carefully identifies the location and extent of the laceration. To ensure patient comfort and minimize pain during the procedure, the cervix is cleansed and infiltrated with a local anesthetic. The repair process begins with the placement of the first suture above the apex of the cervical laceration, which is crucial for controlling any bleeding that may occur. Following this initial step, sutures are meticulously placed along the entire length of the laceration to ensure proper closure and healing. This procedure is essential for restoring the integrity of the cervix and can be indicated in various clinical scenarios where cervical lacerations are present.