Conization of the cervix
Last reviewed: 23.04.2024
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Sometimes, surgical intervention is required to remove the cone-shaped area affected by the disease. This procedure was called - conization of the cervix. Thanks to it, you can remove unhealthy tissues of the cervical canal or part of the uterus, for medicinal purposes. The remote site is necessarily sent for histological examination. After the procedure 2 weeks later, an additional examination is required. At the end of the rehabilitation period, it repeats again. This will avoid possible complications.
Indications for conization of the cervix
The procedure is widely used to eliminate pathological processes. The main indication for cone conformation of the cervix is the presence of erosion and pseudo-erosion. Surgical intervention is often resorted to in the presence of cysts, cervical hypertrophy, polyps and oncology. Conization is applied with a positive result of histological examination.
Cytological smear allows you to conduct a survey and identify a woman with oncology. When confirming the presence of cancer and precancerous reincarnations, one must resort to surgical intervention without fail. It is conducted, it can in one or several stages, depending on the complexity of the situation.
Apply this type of surgery and dysplasia. This condition is precancerous. Usually, it proceeds without any significant symptoms and does not disturb the woman in any way. Dysplasia can provoke the development of cancer. Conization is a completely safe method of removing many pathological processes and tumors.
Preparing for the Genocide
Before starting a surgical procedure, the doctor must have all the data concerning the condition of the woman. Therefore, a general blood test is mandatory. It allows to estimate the quantitative content of the main components in it and to reveal their levels. The increase in leukocytes indicates the presence of an inflammatory process. In addition to a general blood test, biochemical analysis, including syphilis, hepatitis B and C, is given. It is necessary to hand over urine. Preparation for conization requires the fulfillment of all conditions, including a smear test on the flora. Before the surgery, PCR diagnostics, biopsy and colposcopy are performed.
The operation is performed for the first time after menstruation. Its duration is 15-30 minutes. Conduct it under the control of colposcopy. The electrode loop is set 5 mm above the transformation zone of the cervix. A high frequency current is fed here, thanks to which the excision of the affected area occurs. At the end of the procedure a woman needs some time to be under the supervision of doctors. To prevent complications, antibiotic therapy is carried out. If after an operative intervention pains a severe pain syndrome, use painkillers.
Techniques for conducting
The first step is colposcopy, and the boundaries of the hearth are established. Then a loop is selected, according to the size and shape of the affected area. Passive electrode is installed on the thigh or under the buttocks. The device is set at a power of 55 watts. When choosing the optimal number, you need to follow the loop, it should not spark. With insufficient power, perhaps, its "tying" in the tissue. This is the initial technique of the procedure.
When everything is properly installed, surgical removal begins. It is desirable to eliminate the pathological site in one loop loop. In some cases, you can do this in several stages. If this cone-shaped excision electrode should be rotated clockwise by 360 °. In this case, the cervix is fixed by bullet forceps. After the affected area has been removed, the bleeding vessels coagulate with a 60 W globular electrode. If there is a high degree of damage, the procedure ends with curettage of endocervix.
How is the operation?
The duration of the operation and its implementation directly depend on the complexity of the situation. So, it can be carried out in one or more stages. These stages are perfectly worked out and well known, so there should not be any problems. The operation takes place quickly, this applies to both severe cases and simple cases. The maximum duration of surgery is 30 minutes. Earlier such operations were done with the use of a scalpel, these were complicated and difficult procedures.
In modern clinics, everything is done by using modern equipment. The loop electrocovalisation of the cervix is most often used. There is a completely painless method of surgery, this is laser conization. However, it is expensive. Laser removal requires the use of inexpensive equipment and the assistance of specially trained personnel. Not all clinics boast of the possibility of conducting operations of this level.
High conization of the cervix
This type of surgery is aimed at removing the cone-shaped fragment of the cervix. This method is widely used for dysplasia, especially if outpatient methods of treatment 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 for the next day. This type of intervention is characterized by a risk of complications. They resort to his help in those cases when cryodestruction or loop electroexcession of the cervix is impossible.
The size of the part to be removed 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 does not apply to women who want to have children. After removing the affected area, he is sent for examination in order to make a final diagnosis.
Knife conization of the cervix
This type of surgery is used today quite often. 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 applied when other removal methods are not available. This intervention is rather complicated. For its conduct, there must be serious grounds.
The procedure does not take more than 30 minutes. It is enough to pick up a loop in size to the affected area and begin its removal. The obtained site is given for histological examination. This will make an accurate diagnosis. To use the method of conization is not recommended for women who want to have children later. One of the consequences of the procedure is - stenosis of the cervical canal. That 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 condition of women. The first thing is to give a smear to the pathogenic microflora. To date, remove any pathological processes or education in the cervix will allow radio wave conization. The duration of the surgical intervention is not more than 15 minutes. From this side, the operation is considered fast, but in reality it is very complicated. The seriousness of the procedure lies in the selection of equipment. Surgery is performed on certain days of the menstrual cycle.
Radio wave conization involves the effect on the affected area of current. Under his yoke, atypical cells begin to die. The healing process is 2-3 weeks. During the healing period it is forbidden to take a bath, exercise, and exclude sex.
Surgical conization of the cervix
This technique is relatively harmless and fastest. To be afraid of surgical conization of the cervix is stupid. If necessary, it should be done. This method will remove the affected area and lead to a speedy recovery. In view of ignorance of the latest methods of conducting operations, conization can be radical. This will result in the removal of a large amount of tissue, which will cause damage to the uterus. Therefore, it is necessary to carry out the operation exclusively in qualified clinics.
To use this technique is by no means possible in the planning of pregnancy. After the operation, a woman can go home after a day. In some hospitals, patients are observed for several days. This is a one-day surgical intervention, which is not characterized by increased complexity. Therefore, excessive patronage over the patient here to anything. Sometimes the operation is performed even under local anesthesia.
Radiosurgical conization of the cervix
This method is based on the removal of the affected area with the use of high frequency waves. Radiosurgical conization of the cervix
It is carried out without physical manual pressure, it is not necessary to crush the tissue. The finest wire, called a surgical electrode, is introduced into the affected area. Under this influence, the tissues begin to produce heat, lead to a divergence of cells in different directions. Thus, an incision is made.
Radio wave interference allows you to remove the affected area without destroying the tissue. After the operation, there are no traumas and traces, so the process of recovery 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 excludes the possibility of burns. After the operation, there is no unpleasant symptomatology. Puffiness, pain and inflammation - remained in the distant past. Modern methods of removing the affected areas allow us to do without this "pleasant" symptomatology.
Hinge conization of the cervix
This procedure is called LEEP. It is widely used to detect and remove diseases of the cervix or vagina. Hinge conization of the cervix is also used in the presence of abnormal cells, which were detected by means of a PAP test. This procedure is widely used for diagnostic purposes.
Abnormal cells that are not cancerous can be identified as precancerous. Their appearance is the first signal that the body can develop malignant education.
The procedure LEEP allows you to remove polyps, cysts and dysplasia. Often, conization is used for diagnostic purposes, to examine women previously used synthetic estrogen diethylstilbestrol. These representatives of the sex are at a risk of developing malignant neoplasms of the reproductive system.
This procedure may entail some complications. So, if the development of infectious diseases is possible, in the form of bacteria entering the cervix. There is a possibility of bleeding, scarring. Finally, there may be problems with further conception and pregnancy.
Deep conization of the cervix
This technique is used both to clarify the diagnosis and treatment. During deep conization of the cervix, the doctor receives 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 revealing the true cause of the lesion. The shape of the cone indicates the presence of dysplasia or invasive cancer.
The procedure is performed for the first time only 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, the stock has enough days before the next menstruation. This period is quite enough for complete healing and recovery. The procedure is carried out exclusively according to the indications of the attending physician.
Conization of the cervix with a sargitron
To date, most surgical interventions are performed using the Surgitron apparatus. Its action is directed to the emission of waves in a high range. They are located on the tip of the surgical electrode. Under the influence of high-frequency waves, tissues begin to produce heat, which leads to their divergence. Conization of the cervix with a sargitron is not accompanied by incisions and burns. This procedure is completely safe and does not require a long period of rehabilitation. After it there is no scarring, inflammation, swelling and pain.
Surgutron can eliminate dysplasia, erosion, deformation of the cervix, papillomas, adenomas and other problems. The radio wave method has replaced the traditional methods of surgical intervention. To date, it is used quite often.
The operation is also performed for the first time after menstruation, its duration does not exceed 30 minutes. After manipulation, a woman may well go home. She is discharged on the same day. Despite the fact that the device does not leave any negative symptoms, the recovery period still exists. It is 2-3 weeks. At this time it is worth to give up physical activity and sexual relations.
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Results of conization of cervix uteri
After the operation, the woman feels fine. If the conization was carried out by radio-wave action, the extract occurs on the same day. Basically, a woman can go home the next day. The results after conization of the cervix are amazing. First, this technique is painless and practically does not lead to the development of complications. If it was radio wave conization, then there could be no side effects. This method avoids the possibility of developing scarring, inflammation and puffiness. Moreover, after it there are no cuts left. The recovery period is short. If conization has been performed surgically or by a loop, there is a risk of complications. Possible development of bleeding, infection or problems with pregnancy.
Complications are extremely rare. The results after the procedure are in most cases positive. The final verdict after the operation is based on a histological study. The results will be ready after 1-2 weeks.
Effects
Any surgical intervention can lead to serious complications. Developing consequences against the backdrop of improper performance of the procedure or poor-quality work. Sometimes during the operation there can be an infection that begins to develop actively 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 this also happens. This is due to damage to the cervix or vessel. Usually, bleeding takes place within 2-3 days. If it continues, and is characterized by abundance, it is necessary to go to the hospital.
Sometimes, after the procedure, there is edema, inflammation and pain syndrome. This is a consequence of surgical intervention. Negative symptoms will be resolved on their own during the recovery period.
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Complications after conization of cervix uteri
Any operation entails risks. The most serious and serious complication after conization of the cervix is postoperative bleeding. It develops in almost 5% of all cases. In the calculation, those options are taken when medical assistance is required in the form of local hemostatic procedures. Slight spotting can be observed for 2-3 weeks. This is the norm, this process accompanies reparation.
Another serious complication is stenosis of the cervical canal. 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, it is not recommended for women planning to have a child to resort to conization. In extremely rare cases, inflammatory processes of the uterine appendages are possible.
Excretions after conization of cervix uteri
After the procedure, there may be a discharge. This is due to a certain effect on the walls of the cervix. Slight 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 an occasion to go to the hospital. During the operation, the vessel could be damaged or a significant cut was applied.
The healing time is 2-3 weeks. Literally after 7 days, the discharge can become abundant. This indicates that the scab came out. It is formed during the operation itself and after a while independently leaves. This is a completely normal process, without it there is not a single surgical intervention of this type. There should be no other excretions. If they are present and are accompanied by an unpleasant odor, it is likely that an infection has been entered. In this case, you must immediately visit a gynecologist.
Crostus cervix after conization
Many women complain of bleeding. No matter how eerie it may sound, the cervix can cover for 4 months after coning. During this period, a recovery process takes place, and it can not be accelerated, since it passes naturally.
This is not a dangerous process. The only thing a woman will have to wear hygiene pads throughout this period. After 7-10 days, excretions can become more pronounced. This indicates the exit of the scab. Once he completely leaves the cervix, the abundance of secretions will decrease, but they will not disappear. There are no grounds for concern in this case. Experiencing is in the event that the cervix is strongly krovit and outwardly it is similar to menstruation. This may indicate serious damage, in particular because of non-compliance with the rest regime during rehabilitation.
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Pain after conization of the cervix
Often after the intervention, a woman pains the pain syndrome in the lower abdomen. This may be due to both the consequences of the operation and the failure to follow the recommendations of the rehabilitation period. In most cases, pain after coning the cervix is a completely normal process. This is due to previous surgical intervention. For the first time after the conization, the woman is being tormented by pain, discharge and abundant menstruation. It is impossible to get rid of this, because these processes are natural.
Sometimes, to alleviate the condition of a woman, antibacterial and analgesic therapy is prescribed. If the pain syndrome, pronounced, and it can not be removed in any way, it is worth to go to the hospital. It is likely that the operation damaged the walls of the cervix or a new process developed there. In any case, this condition of a woman requires an immediate inspection.
Bleeding after conization of the cervix
The operation is the removal of the affected tissue with the help of special devices. Surgical intervention can be both surgical and radio wave. The latter method is the safest and less traumatic. If the conization of the cervix was performed surgically, then after the operation, bleeding may develop.
One incorrect movement can lead to the removal of a larger tissue site or damage to the walls of the cervix or vagina. In this case, bleeding occurs. The doctor must stop him immediately. If the abundant bleeding arose a few days after the surgery, it may be that the scab comes out. Everything will pass by itself, as soon as he leaves the vagina. If the bleeding has not passed, you need to go to the hospital. There is a possibility of complications.
Itching after conization of the cervix
For the first time after the operation a woman can pester unpleasant symptoms. Do not exclude the increase in body temperature and the appearance of minor discharge. After the conization of the cervix, itching and pain may appear. Normally, these symptoms can persist throughout 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 in the vagina. It is not worth trying to eliminate this symptom on your own. It is necessary to go to the hospital and follow the instructions of the attending physician. During the recovery period, you can not exercise and live sexually. This can provoke additional symptoms. Unprotected sexual intercourse is one of the factors contributing to the development of itching. To avoid complications and negative symptoms, all rules of the recovery period must be observed.
Temperature after conization of cervix uteri
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 for several days after surgery. If the temperature after conization of the cervix does not go away, it is likely that a serious infection has been introduced into the body. Usually, this process is accompanied by discomfort and "smelling" secretions.
The temperature may appear due to the intervention. This is a normal reaction of the body. If the temperature is very high, this is cause for concern. If it keeps for several days and does not fall off, you need to take action. In this case, this process is not normal. A woman must go to the hospital for a comprehensive examination.
Monthly after conization of cervix uteri
After the operation, menstruation can become more abundant. This is observed for the first time for months and is considered a completely normal process. They can be accompanied by soreness and general malaise. After the conization of the cervix, the men go on time, without delay. But only if the operative intervention was carried out correctly and on time.
As soon as menstruation begins, the woman will need to wear a sanitary napkin. The use of tampons during the first months is prohibited. This will avoid damage to the recently operated uterus.
In most cases, after the operation, menstruation goes with a slight delay. This is due to the fact that during the surgical intervention the organism was in a state of stress. As soon as all functions come back to normal, menstruation will begin immediately.
The healing process after conization of the cervix uteri
After the operation, the recovery period follows. The healing process after conization of the cervix depends on the technique used. Basically, a woman comes to norm after 2-3 weeks. Modern methods of removing the affected areas are carried out without cuts and damage to the uterus. The only thing that can be observed after the procedure: inflammation, swelling and pain syndrome. During this period, antibacterial and analgesic therapy may be offered. It will ease the condition of a woman.
The healing process depends on the most representative of the fair sex. If she complies with all the recommendations, everything will return to normal at the set time. For this it is necessary to abandon physical activity and sexual relations. If the procedure was performed without surgery, healing may occur much faster.
Scab after cone of the cervix
The radio wave effect on the tissue leads to the formation of a scab. It is formed during the period of the operative intervention. There is nothing dangerous or terrible in this, this is quite a normal order of things. A corpse after conization of the cervix is released about a week after surgery. During this period, you can notice abundant discharge, with a marked admixture of blood. There should be no grounds for experience. The scab is formed almost always, it is impossible to avoid this process.
If there is any doubt, you should go to a doctor for advice. Basically, abundant discharge stops on their own. If they are observed throughout the healing period, this is not normal. Most likely, developed bleeding due to damage to the walls of the cervix. This requires immediate consultation of the doctor with recommendations for further action.
Pregnancy after conization of cervix uteri
The operation of conization can lead to a violation of reproductive function. This coincidence is not so common, only in 5% of cases. Despite this, women who plan to have a child, should give up this operational impact. Pregnancy after conization of the cervix is possible, but there may be some difficulties with this process. There is a risk of complications with regard to the bearing of the child.
Conedication is a safe and necessary method in preventing and combating serious female diseases. Sometimes, during the operation, a too large area of the affected tissue is excised. Subsequently, this leads to a 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 applies a circular suture to the cervix of the pregnant woman. This does not affect the generic process in any way, but at the same time it ensures the normal bearing of the child.
Rehabilitation period
After the operation, the woman must follow special rules. They will reduce unpleasant symptoms and accelerate the recovery process. The rehabilitation period can reach several months, but ideally is 2-3 weeks. Throughout this period, a woman can be pestered by a drawing pain in the lower abdomen, excretion and general discomfort. Menstruation will be slightly more plentiful with clots. This is a normal reaction of the body and it does not require any intervention.
During the rehabilitation period, certain rules must be observed. So, for 6 weeks you should use sanitary napkins. Tampons can not be used in any case, they will injure the uterus, and the restoration process will be prolonged. Do not wear weight and exercise excessive physical activity. You can bathe only under the shower, you can not take a bath. Temporarily it is worth not to visit the sauna, sauna and swimming pool. This will prevent infection. Intimate intimacy is allowed not earlier than in a month and a half. After the expiration of two weeks after the operation, you will need to be examined.
Treatment of the cervix after conization
The procedure does not imply the use of any solution for processing. The most prompt intervention is carried out by sterile instruments, the cervix is not preliminarily processed. During the recovery period, the use of syringes and suppositories is strictly prohibited. After the conization of the cervix, there is no need for treatment. On the contrary, in no case can this be done. The area affected by the intervention must be in complete tranquility. Any impact, even through douching, can lead to complications.
Treatment is possible if minor mistakes were made during the operation, and bleeding started. The damaged area is treated with a special solution and bruises are stopped. In other cases, processing is not necessary, and is not recommended.
What is impossible after conization of the cervix?
After the procedure, you can not visit the sauna, sauna and swimming pool for a whole month. This will avoid the negative impact of high temperatures and infection. Not many girls know that after the conization of the cervix, you can not go in for sports. In this case, we mean any physical loads, even minor ones.
Lifting weights, using tampons and taking aspirin is prohibited. After the operation the woman leads a habitual way of life, but with some restrictions. You must constantly monitor your own health. If you become noticeable strong bloody discharge and there are pronounced pains in the lower abdomen - you should see a doctor.
What is most important, you need to give up sex. For 6 weeks they are banned. This will not cause injury to the cervix and will contribute to its full recovery.
Hospital after conization of cervix uteri
The operation performed is not a serious surgical intervention. After the conization of the cervix, the hospital is not provided. The procedure itself is not complex and lasts no more than 30 minutes. At the end of this time, the patient is transferred to the ward, where she is under the supervision of doctors throughout the day. Then she is discharged and sent home. A woman can continue her usual way of life, making some amendments to it.
Sometimes, surgery is performed under local anesthesia. The woman goes home the same day. It does not need to create special conditions for life, everything remains the same. Only sexual intercourse and physical activity are excluded. However, this is a temporary measure, after 6 weeks the patient may well return to the usual way of life. The only time, 14 days after the operation, you need to come to the hospital for a second examination.
Life after conization of cervix uteri
Life after surgery is no different from the period before it. It is necessary to make some corrections and adjustments, but this is a temporary measure. So, you have to give up hiking in the pool, sauna and sauna. This is done to avoid possible complications. After the conization of the cervix, the woman's life flows in the usual way. However, if before that the fair sex was actively engaged in sports, now it is necessary to wait with it. Physical stress is prohibited for 6 weeks.
After the procedure, a woman leads a normal life, but she must carefully monitor her condition. If there are abundant discharge, accompanied by fever and pain in the abdomen - you need to go to the hospital. It can be signs of developing complications.
Koninization is not a complex operation, after it a woman does not need a hospital. Return to normal life, she will be able to the next day after the procedure.
Sports after conization of cervix uteri
Any surgical intervention requires a recovery period. At this time, you need to monitor your health more closely and avoid overloading the body. Sport after conization of the cervix is excluded completely, but only for a certain period. Refuse from physical exertion should be for 6 weeks. After the expiration of the preset period and re-examination, you can again engage in sports.
After any surgery, the body must be restored. All human actions should be directed at maintaining this process. Therefore, sports, swimming pool and other joys of life will have to be postponed for a while. As soon as the cervix recovers, a woman can return to her favorite pursuits.
If, despite the prohibitions, sports have not been eliminated from life, there is a risk of serious complications. The probability of developing severe bleeding is not ruled out. It is advisable to follow the recommendations and not to give your own body the influence of unnecessary stress.