Cervical conization

Sometimes it is necessary to perform surgical intervention to remove the cone-shaped area affected by the disease. This procedure is called conization of the cervix. Thanks to it, it is possible to remove unhealthy tissues of the cervical canal or part of the uterus for therapeutic purposes. The removed area is necessarily sent for histological examination. After the procedure, an additional examination is required after 2 weeks. At the end of the rehabilitation period, it is repeated again. This will help to avoid possible complications.

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Indications for cervical conization

The procedure is widely used to eliminate pathological processes. The main indication for cervical conization is the presence of erosion and pseudo-erosion. Surgical intervention is often used in the presence of cysts, cervical hypertrophy, polyps and oncology. Conization is used with a positive histological examination result.

A cytological smear allows for examination and detection of oncology in a woman. If the presence of cancerous and precancerous degenerations is confirmed, surgical intervention is mandatory. It can be performed in one or several stages, depending on the complexity of the situation.

This type of surgery is also used for dysplasia. This condition is precancerous. Usually, it occurs without pronounced symptoms and does not bother the woman in any way. Dysplasia can provoke the development of cancer. Conization is a completely safe method of removing many pathological processes and neoplasms.

Preparation for conization

Before starting the surgical intervention, the doctor needs to have all the data regarding the woman's condition. Therefore, a general blood test is mandatory. It allows you to assess the quantitative content of the main components in it and identify their levels. An increase in leukocytes indicates the presence of an inflammatory process. In addition to a general blood test, a biochemical analysis is taken, including for syphilis, hepatitis B and C. It is also necessary to pass urine. Preparation for conization requires fulfilling all the conditions, including checking the smear for flora. Before surgery, PCR diagnostics, biopsy and colposcopy are performed.

The operation is performed on the first days after menstruation. Its duration is 15-30 minutes. It is performed under colposcopy control. The electrode loop is installed 5 mm above the transformation zone of the cervix. High-frequency current is supplied here, due to which the affected area is cut out. After the procedure, the woman needs to be under the supervision of doctors for some time. Antibacterial therapy is performed to prevent complications. If severe pain syndrome bothers after surgery, painkillers are used.

Technique of implementation

First, a colposcopy is performed and the boundaries of the lesion are established. Then a loop is selected according to the size and shape of the affected area. The passive electrode is placed on the thigh or under the buttocks. The device is set to a power of 55 W. When choosing the optimal figure, you need to watch the loop, it should not spark. If the power is insufficient, it may "tie" in the tissue. This is the initial technique for performing the procedure.

Once everything is correctly installed, surgical removal begins. It is advisable to remove the pathological area in one turn of the loop. In some cases, this can be done in several stages. If this is a cone-shaped excision, the electrode should be turned clockwise by 360°. In this case, the cervix is fixed with bullet forceps. After the affected area is removed, the bleeding vessels are coagulated with a spherical electrode, the power of which is 60 W. If a high-grade lesion is observed, the procedure ends with curettage of the endocervix.

How does the operation go?

The duration of the operation and its implementation directly depend on the complexity of the situation. Thus, it can be carried out in one or several stages. These stages are well developed and known, so there should be no problems. The operation is carried out quickly, this applies to both severe and simple cases. The maximum duration of the surgical intervention is 30 minutes. Previously, such operations were done using a scalpel, these were complex and difficult procedures.

In modern clinics, everything is done using modern equipment. Most often, loop electroconization of the cervix is used. There is also a completely painless method of surgery - laser conization. However, it is expensive. Laser removal requires the use of expensive equipment and the help of specially trained personnel. Not all clinics can boast the ability to perform operations of this level.

High conization of the cervix

This type of surgery is aimed at removing a cone-shaped fragment of the cervix. This method is widely used for dysplasia, especially if outpatient treatments are unavailable. High conization of the cervix is a fairly serious intervention; the operation takes less than an hour. The patient is discharged from the hospital the next day. This type of intervention is characterized by the risk of complications. It is used in cases where cryodestruction or loop electroexcision of the cervix is impossible.

The size of the removed part depends on the size of the lesion. It is necessary to take into account the fact that conization can lead to stenosis of the cervical canal, which makes it impossible to conceive a child. This operation is not used for women who want to have children. After removal of the affected area, it is sent for examination in order to make a final diagnosis.

Knife conization of the cervix

This type of surgical intervention is used quite often today. Its main indication is the presence of dysplasia. It is also used to remove polyps, cysts and other formations, including oncology. Knife conization of the cervix is used when other methods of removal are not available. This intervention is quite complex. There must be serious reasons for it to be carried out.

The procedure does not take more than 30 minutes. It is enough to select a loop according to the size of the affected area and begin its removal. The obtained area is submitted for histological examination. This will allow an accurate diagnosis to be made. It is not recommended to use the conization method for women who want to have children in the future. One of the consequences of the procedure is stenosis of the cervical canal. Which literally will not allow a woman to become pregnant.

Radio wave conization of the cervix

Before resorting to this study, it is necessary to undergo several mandatory procedures. All of them are aimed at studying the woman's condition. The first thing to do is to take a smear for pathogenic microflora. Today, radio wave conization will allow removing any pathological processes or formations in the cervix. The duration of the surgical intervention is no more than 15 minutes. From this side, the operation is considered fast, but in fact it is very complicated. The whole seriousness of the procedure lies in the selection of equipment. Surgical intervention is performed on certain days of the menstrual cycle.

Radio wave conization involves the effect of current on the affected area. Under its pressure, atypical cells begin to die. The healing process takes 2-3 weeks. During the healing period, it is forbidden to take a bath, engage in physical activity and exclude sexual intercourse.

Surgical conization of the cervix

This method is relatively harmless and the fastest. It is stupid to be afraid of surgical conization of the cervix. It is worth doing if necessary. This method will remove the affected area and lead to a quick recovery. Due to ignorance of the latest surgical techniques, conization can be radical. This will lead to the removal of a large amount of tissue, which will result in damage to the uterus. Therefore, the operation should be performed only in qualified clinics.

This method should never be used when planning a pregnancy. After the operation, the woman can go home after 24 hours. In some hospitals, patients are observed for several days. This is a one-day surgical intervention that is not characterized by increased complexity. Therefore, excessive care of the patient is not necessary here. Sometimes the operation is even performed under local anesthesia.

Radiosurgical conization of the cervix

This method is based on the removal of the affected area using high-frequency waves. Radiosurgical conization of the cervix

It is performed without physical manual pressure, there is no need to crush the tissues either. The thinnest wire, called a surgical electrode, is inserted into the affected area. Under this influence, the tissues begin to emit heat, causing the cells to diverge in different directions. Thus, an incision is made.

Radio wave intervention allows you to remove the affected area without destroying tissue. After the operation, there are no injuries or traces, so the recovery process is not burdened by pain and scars. The main advantage of such an operation is the sterilizing effect of radio wave surgery.

Special equipment completely eliminates the possibility of burns. After the operation, there are no unpleasant symptoms. Swelling, pain and inflammation are a thing of the past. Modern methods of removing affected areas allow you to do without these "pleasant" symptoms.

Loop conization of the cervix

This procedure is called LEEP. It is widely used to detect and remove diseases of the cervix or vagina. Loop conization of the cervix is also used in the presence of abnormal cells that were detected by a Pap test. This procedure is also widely used for diagnostic purposes.

Abnormal cells that are not cancerous can be identified as precancerous cells. Their appearance is the first sign that a malignant tumor may develop in the body.

The LEEP procedure removes polyps, cysts, and dysplasia. Conization is often used for diagnostic purposes, to examine women who have previously used the synthetic estrogen diethylstilbestrol. These women are at risk for developing malignant neoplasms of the reproductive system.

This procedure may entail some complications. Thus, if it is possible to develop infectious diseases, in the form of bacteria entering the cervix. The possibility of bleeding and scarring is not excluded. Finally, problems with further conception and pregnancy are possible.

Deep conization of the cervix

This technique is used both to clarify the diagnosis and for treatment. During deep conization of the cervix, the doctor obtains a cone-shaped piece of tissue. It must be carefully examined for malignancy. This will clarify the condition of the cervix. Histological examination is aimed at identifying the true cause of the lesion. The contours of the cone indicate the presence of dysplasia or invasive cancer.

The procedure is performed exclusively in the first days after menstruation, usually 5-11 days. This time is the most convenient, since there is a high probability that the patient is not pregnant. Finally, there are enough days left before the start of the next menstruation. This period is quite enough for complete healing and recovery. The procedure is performed exclusively according to the instructions of the attending physician.

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Cervical conization with Surgitron

Today, most surgical interventions are performed using the Surgitron device. Its action is aimed at emitting waves in a high range. They are located at the tip of the surgical electrode. Under the influence of high-frequency waves, tissues begin to generate heat, which leads to their divergence. Conization of the cervix with a Surgitron is not accompanied by incisions and burns. This procedure is completely safe and does not require a long rehabilitation period. After it, there are no scars, inflammation, swelling or pain.

Surgitron can eliminate dysplasia, erosion, cervical deformity, papillomas, adenomas and other problems. The radio wave method has replaced traditional methods of surgical intervention. Today, it is used quite often.

The operation is also performed on the first days after menstruation, its duration does not exceed 30 minutes. After the manipulations, the woman can go home. She is discharged on the same day. Despite the fact that the device does not leave any negative symptoms, there is still a recovery period. It is 2-3 weeks. During this time, it is worth giving up physical activity and sexual intercourse.

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Results of conization of the cervix

After the operation, the woman feels great. If conization was performed using radio wave exposure, discharge occurs on the same day. In general, the woman can go home the next day. The results after conization of the cervix are simply amazing. Firstly, this method is painless and practically does not lead to the development of complications. If it was radio wave conization, then there can be no side effects. This method allows you to avoid the possibility of developing scars, inflammation and swelling. Moreover, there are no incisions left after it. The recovery period is short. If conization was performed surgically or by loop, there is a risk of complications. Bleeding, infection or problems with pregnancy are possible.

Complications are extremely rare. The results after the procedure are positive in most cases. The final verdict after the operation is based on histological examination. The results will be ready in 1-2 weeks.

Consequences

Any surgical intervention can entail serious complications. Consequences develop against the background of improper performance of the procedure or poor quality work. Sometimes during the operation an infection can be introduced, which begins to actively develop in the uterine cavity. This will entail a pronounced inflammatory process and the risk of another surgical intervention.

There are cases when bleeding begins after the procedure. The percentage of their prevalence is small, but it also happens. This is due to damage to the cervix or a vessel. Usually, bleeding goes away on its own within 2-3 days. If it continues and is characterized by abundance, you need to go to the hospital.

Sometimes, swelling, inflammation and pain syndrome develop after the procedure. This is a consequence of the surgical intervention. Negative symptoms will go away on their own during the recovery period.

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Complications after conization of the cervix

Any operation entails risks. The most severe and serious complication after conization of the cervix is postoperative bleeding. It develops in almost 5% of all cases. The options when medical assistance in the form of local hemostatic procedures is required are also taken into account. Minor bloody discharge may be observed for 2-3 weeks. This is normal, this process accompanies reparation.

Another serious complication is cervical canal stenosis. It occurs in 1-5% of all cases. This phenomenon leads to the impossibility of pregnancy. Despite the fact that the risk of developing such a complication is small, women planning to have a child are not recommended to resort to conization. In extremely rare cases, inflammatory processes of the uterine appendages are possible.

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Discharge after conization of the cervix

After the procedure, discharge may appear. This is due to a certain impact on the walls of the cervix. Minor damage is accompanied by minor bloody discharge. This is a completely normal process. If the discharge after conization of the cervix is abundant, there is a reason to go to the hospital. During the operation, a vessel could be damaged or a significant cut could be made.

The healing period lasts 2-3 weeks. Literally after 7 days, the discharge may become profuse. This indicates that the scab has begun to come out. It forms during the operation itself and after a while comes out on its own. This is a completely normal process, no surgical intervention of this type can do without it. There should be no other discharge. If they are present and are accompanied by an unpleasant odor, it is likely that an infection has been introduced. In this case, you should immediately visit a gynecologist.

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Cervical bleeding after conization

Many women complain of bloody discharge. As scary as it may sound, the cervix can bleed for 4 months after conization. During this period, the recovery process occurs, and it cannot be accelerated, since it occurs naturally.

This is not a dangerous process. The only thing is that the woman will have to wear sanitary pads throughout this period. After 7-10 days, the discharge may become more pronounced. This indicates that the scab has come out. As soon as it completely leaves the cervix, the amount of discharge will decrease, but it will not disappear. There is no reason to worry in this case. You should worry if the cervix bleeds heavily and it looks like menstruation. This may indicate serious damage, in particular due to failure to observe the rest regime during the rehabilitation period.

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Pain after conization of the cervix

Often after the intervention, a woman is bothered by pain in the lower abdomen. This may be due to both the consequences of the operation and failure to follow the recommendations of the rehabilitation period. In most cases, pain after conization of the cervix is a completely normal process. This is due to the previous surgical intervention. The first months after conization, a woman is bothered by pain, discharge and heavy menstruation. It is impossible to get rid of this, because these processes are natural.

Sometimes, antibacterial and pain-relieving therapy is prescribed to ease the woman's condition. If the pain syndrome is pronounced and cannot be eliminated, it is worth going to the hospital. It is quite possible that the walls of the cervix were damaged during the operation or a new process developed there. In any case, such a woman's condition requires immediate examination.

Bleeding after conization of the cervix

The operation involves removing a section of affected tissue using special devices. The surgical intervention can be either surgical or radio wave. The latter method is the safest and less traumatic. If conization of the cervix was performed surgically, bleeding may develop after the operation.

One wrong move can result in the removal of a larger piece of tissue or damage to the walls of the cervix or vagina. In this case, bleeding occurs. The doctor must stop it immediately. If heavy bleeding occurs a few days after the operation, it may be the scab coming out. It will go away on its own as soon as it leaves the vagina. If the bleeding does not stop, you need to go to the hospital. There is a risk of complications.

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Itching after conization of the cervix

The first days after the operation, a woman may be bothered by unpleasant symptoms. An increase in body temperature and the appearance of minor discharge are not excluded. After conization of the cervix, itching and pain may appear. Normally, these symptoms may persist during the first days. If over time they do not disappear, but only intensify, then there is a possibility of complications.

Most often, itching is associated with an infection that has penetrated the vagina. You should not try to eliminate this symptom on your own. You should go to the hospital and follow the instructions of your doctor. During the recovery period, you cannot engage in physical activity or have sex. This can provoke additional symptoms. Unprotected sexual intercourse is one of the factors that contribute to the development of itching. To avoid complications and negative symptoms, you must follow all the rules of the recovery period.

Temperature after conization of the cervix

Conization is often accompanied by the appearance of negative symptoms. Temperature, pain in the lower abdomen, discharge and discomfort are all quite normal signs. They disappear on their own within a few days after the surgery. If the temperature does not go away after conization of the cervix, it is likely that a serious infection has entered the body. Usually, this process is accompanied by discomfort and "smelly" discharge.

Temperature may appear due to the intervention performed. This is a completely normal reaction of the body. If the temperature is very high, this is a cause for concern. If it lasts for several days and does not subside, measures must be taken. In this case, this process is not normal. The woman must come to the hospital for a comprehensive examination.

Menstruation after cervical conization

After the operation, menstruation may become more abundant. This is observed for the first months and is considered a completely normal process. They may be accompanied by pain and general malaise. After conization of the cervix, menstruation occurs on time, without delays. But only if the surgical intervention was performed correctly and on time.

As soon as menstruation begins, the woman will need to wear a sanitary pad. The use of tampons during the first months is prohibited. This will help to avoid damage to the recently operated uterus.

In most cases, after the operation, menstruation is slightly delayed. This is due to the fact that during the surgical intervention, the body was in a state of stress. As soon as all functions return to normal, menstruation will begin immediately.

The healing process after conization of the cervix

After the operation, there is a recovery period. The healing process after conization of the cervix depends on the technique used. Basically, the woman returns to normal after 2-3 weeks. Modern methods of removing affected areas are carried out without incisions and damage to the uterus. The only thing that can be observed after the procedure is inflammation, swelling and pain syndrome. During this period, antibacterial and pain-relieving therapy can be offered. It will alleviate the woman's condition.

The healing process also depends on the woman herself. If she follows all the recommendations, everything will return to normal within the specified time. To do this, you should give up physical activity and sexual intercourse. If the procedure was performed without surgical intervention, healing can occur much faster.

Scab after conization of the cervix

Radio wave action on tissues leads to the formation of a scab. It is formed during the period of surgical intervention. There is nothing dangerous or scary about this, this is a completely normal order of things. The scab after conization of the cervix comes out about a week after the surgical intervention. During this period, you can notice abundant discharge, with a pronounced admixture of blood. There should be no reason to worry. The scab is formed almost always, it is impossible to avoid this process.

If there are any doubts, it is worth going to a doctor for a consultation. Mostly, heavy discharge stops on its own. If it is observed throughout the healing period, this is not normal. Most likely, bleeding has developed due to damage to the walls of the cervix. This requires an immediate consultation with a doctor with recommendations on further actions.

Pregnancy after cervical conization

Conization surgery can lead to reproductive dysfunction. This combination of circumstances is not very common, only in 5% of cases. Despite this, women planning to have a child should refuse this surgical intervention. Pregnancy after conization of the cervix is possible, but some difficulties with this process may arise. There is a risk of complications regarding bearing a child.

Conization is a safe and necessary method in preventing and combating serious female diseases. Sometimes, during the operation, too much of the affected tissue is excised. Subsequently, this leads to weakness of the muscular layer of the cervix. As a result, there is a risk of premature birth. To avoid this complication, during the operation, the doctor places a circular suture on the cervix of the pregnant woman. This does not affect the birth process in any way, but at the same time ensures normal bearing of the child.

Rehabilitation period

After the operation, the woman must follow special rules. They will reduce unpleasant symptoms and speed up the recovery process. The rehabilitation period can reach several months, but ideally is 2-3 weeks. During this period, the woman may be bothered by a nagging pain in the lower abdomen, discharge and general discomfort. Menstruation will be a little more abundant with clots. This is a completely normal reaction of the body and does not require any intervention.

During the rehabilitation period, it is necessary to follow certain rules. Thus, for 6 weeks, you should use sanitary pads. Tampons should not be used under any circumstances, they will injure the uterus and prolong the recovery process. You should not lift heavy objects or perform excessive physical activity. You can only bathe in the shower, you cannot take a bath. You should temporarily avoid visiting a bathhouse, sauna and swimming pool. This will help to avoid infection. Intimacy is allowed no earlier than after one and a half months. Two weeks after the operation, you must come for an examination.

Treatment of the cervix after conization

The procedure does not involve the use of any solutions for treatment. The surgical intervention itself is performed with sterile instruments, the cervix is not pre-treated with anything. During the recovery period, the use of douches and suppositories is strictly prohibited. After conization of the cervix, there is no need for treatment. On the contrary, this should not be done under any circumstances. The area subject to surgical intervention should be completely calm. Any impact, even through douching, can lead to the development of complications.

Treatment is possible if minor errors were made during the operation and bleeding began. The damaged area is treated with a special solution and the bruise is stopped. In other cases, treatment is not necessary and is not recommended.

What should not be done after cervical conization?

After the procedure, you cannot visit a bathhouse, sauna or swimming pool for a whole month. This will help avoid the negative impact of high temperatures and infection. Not many girls know that after conization of the cervix, you cannot play sports. In this case, we mean any physical activity, even minor.

Lifting weights, using tampons and taking aspirin are prohibited. After the operation, the woman leads her usual life, but with some restrictions. It is necessary to constantly monitor your own health. If you notice heavy bleeding and severe pain in the lower abdomen, you should consult a doctor.

The most important thing is to abstain from sexual intercourse. They are prohibited for 6 weeks. This will prevent injury to the cervix and will facilitate its full recovery.

Sick leave after conization of the cervix

The operation performed is not a serious surgical intervention. After conization of the cervix, sick leave is not required. The procedure itself is not complicated and lasts no more than 30 minutes. After this time, the patient is transferred to a ward, where she is under the supervision of doctors for 24 hours. Then she is discharged and sent home. The woman can continue her usual way of life, making some adjustments to it.

Sometimes, the surgery is performed under local anesthesia. The woman goes home the same day. She does not need to create special living conditions, everything remains the same. Only sexual intercourse and physical activity are excluded. However, this is a temporary measure, after 6 weeks the patient can return to her usual way of life. The only thing is that 14 days after the surgery, you need to come to the hospital for a follow-up examination.

Life after cervical conization

Life after the operation is no different from the period before it. It is necessary to make some adjustments and corrections, but this is a temporary measure. Thus, you will have to give up going to the pool, bathhouse and sauna. This is done in order to exclude possible complications. After conization of the cervix, a woman's life flows in the usual way. However, if before this the fair sex was actively involved in sports, now you will have to wait with this. Physical activity is prohibited for 6 weeks.

After the procedure, the woman leads a normal life, but she must carefully monitor her condition. If there is heavy discharge, accompanied by fever and pain in the lower abdomen, you must go to the hospital. This may be a sign of developing complications.

Conization is not a complicated operation, after which the woman does not need sick leave. She will be able to return to her normal life the next day after the procedure.

Sports after cervical conization

Any surgical intervention requires a recovery period. During this time, it is necessary to more carefully monitor your own health and avoid overloading the body. Sports after conization of the cervix are completely excluded, but only for a certain period. You should refuse physical activity for 6 weeks. After the specified period and repeated examination, you can play sports again.

After any surgical intervention, the body must recover. All human actions must be aimed at maintaining this process. Therefore, playing sports, visiting the pool and other joys of life will have to be postponed for a while. As soon as the cervix recovers, the woman can return to her favorite activities.

If, despite the prohibitions, sport has not been eliminated from life, there is a risk of developing serious complications. The possibility of developing severe bleeding is not excluded. It is advisable to follow the recommendations and not expose your body to the influence of unnecessary stress.