How is a cervical conization (cervical excision) performed?
May 24, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Cervical conization is commonly used to treat benign cervical lesions, such as uterine prolapse with cervical elongation, severe chronic cervical inflammation that shows no significant improvement after medical or physical therapy, and precancerous cervical lesions. This procedure requires a certain level of expertise, and it is recommended to perform the surgery under the guidance of a qualified physician to minimize surgical risks. Adequate rest is advised after the operation.
Generally, cervical resection is commonly used to treat benign cervical lesions, such as uterine prolapse combined with cervical elongation, severe chronic cervicitis that shows no significant improvement after medication or physical therapy, and precancerous cervical lesions. A detailed analysis is as follows:
1. Administer general anesthesia.
2. Position the patient in the lithotomy position, perform routine disinfection of the perineum and vaginal area, and expose the cervix.
3. Use a vaginal speculum to dilate the vagina and disinfect again.
4. Insert a metal urinary catheter into the bladder to determine the lower boundary of the bladder.
5. Incise the anterior lip mucosa of the cervix and push the bladder upward.
6. Incise the posterior lip mucosa of the cervix and push the rectum downward.
7. Ligature the descending branch of the uterine artery and remove the cervix.
8. Apply pressure to the wound surface to stop bleeding, then suture it, reconstructing the external cervical os.
This procedure requires a certain level of expertise. It is recommended to undergo the surgery at a正规 hospital under the guidance of qualified physicians to minimize surgical risks. After surgery, adequate rest is important, and sexual intercourse should be avoided for one month to prevent infection and promote proper recovery.
