Cervical Conization

Cervical conization is used for the surgical treatment of benign cervical diseases. Treatment of diseases: cervical polyps cervical cancer Indication 1, cervical biopsy is carcinoma in situ, to determine the extent of the lesion and whether there is infiltration. 2, severe cervical atypical hyperplasia. 3, cervical smear multiple positive, but biopsy failed to find the lesion. Contraindications Acute genital tract inflammation, sexually transmitted diseases, cervical invasive cancer, genital malformations, blood diseases, severe bleeding tendency. Preoperative preparation 1, 3 to 7 days after menstruation, surgery to avoid premenstrual surgery. 2, check the vaginal discharge, cervical scraping, cervical biopsy if necessary, blood routine including platelets, bleeding, clotting time. 3, 3d preoperatively with 0.05% chlorhexidine (chlorhexidine) solution to lavage or scrub the vagina, cervix, once a day. Surgical procedure 1, routine disinfection of vulva, vagina and cervix, spread disinfection towel. 2, the vaginal hook to expose the cervix, the compound iodine solution, the entire cervix, to determine the extent of the lesion. Use a rat tooth clamp to clamp the iodine iodine coloring area and gently pull it down. A metal catheter is inserted into the bladder to determine the boundary of the lower edge of the bladder. 3, outside the cervical lesions 0.3 ~ 0.5cm, with a scalpel to make a circular incision in the vertical direction, tilted inward 30 ° ~ 40 °, gradually tapered to the deep part of the cervix. Note that the tip of the cone faces the inner mouth of the cervix, and the direction should not be skewed, so that the neck tissue is completely conically cut. Generally, the width of the tapered bottom is 2 to 3 cm, and the height of the cone is about 2.5 cm. But should not exceed the internal cervix. If there is bleeding point in the cervical wound, it can be tied with 3-0 gut or iron to stop bleeding, stuffed with gauze, and taken out after 24h. 4, cervical suture, see cervical resection, but not necessarily. complication Secondary bleeding is the main complication of cervical surgery, more than 10 days after surgery, should be given timely hemostasis, more bleeding, suture ligation.

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