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Cervical Conization

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by Aaron S

(Cone Biopsy; Cervical Cone Biopsy)

 

Reasons for Procedure

A cervical conization is used to diagnose and to treat cervical cancer or precancerous changes in the cervix. The procedure takes place after a woman has had abnormal Pap smears. Pap smears are screening tests to detect abnormal, pre-cancerous, and cancerous cells in the cervix.
Cervix With Precancerous Growth
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What to Expect

Prior to Procedure

Do not eat or drink anything for 8 hours prior to the procedure.

Description of the Procedure

A speculum will be inserted into the vagina, similar to a Pap smear. It will hold your vagina open and allow instruments to pass easier. Your doctor will use a knife, laser, or heated loop to remove a cone-shaped piece of tissue from the cervix. If there are abnormal cells, they will also be removed. Self-absorbable sutures may be placed in the cervix to control bleeding.
The tissue will be sent to a lab to test for cancer. The test results will be available within a week.

How Long Will It Take?

The procedure will take less than an hour.

How Much Will It Hurt?

Anesthesia will prevent pain during this procedure. After the procedure, you may have some discomfort. You can take pain relievers to help manage any discomfort.

Postoperative Care

At the Care Center
You will rest in a recovery area until the anesthesia wears off. When you are awake and aware, you will be able to go home.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
  • Washing their hands
  • Wearing gloves or masks
  • Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:
  • Washing your hands often and reminding visitors and healthcare providers to do the same
  • Reminding your healthcare providers to wear gloves or masks
  • Not allowing others to touch your incisions
At Home
When you return home, do the following to help ensure a smooth recovery:
  • You may have some bleeding or discharge from your vagina for several days postsurgery. A sanitary napkin or pad may be worn. Tampons should not be used for a month or more after the surgery.
  • Sexual intercourse is discouraged for 4-6 weeks.
  • Showers and baths are OK.
  • Be sure to follow your doctor's instructions.
A postoperative exam takes place at six weeks.
 

RESOURCES

National Cancer Institute
http://www.cancer.gov

National Cervical Cancer Coalition
http://www.nccc-online.org

 

CANADIAN RESOURCES

The Society of Obstetricians and Gynaecologists of Canada (SOGC)
http://www.sogc.org

Women's Health Matters
http://www.womenshealthmatters.ca

 

References


American College of Obstetricians and Gynecologists. Management of abnormal cervical cytology and histology. Practice Bulletin. 2008;99.


Cervical Cancer: Surgery. American Cancer Society website. Available at: http://www.cancer.org/Cancer/CervicalCancer/DetailedGuide/cervical-cancer-treating-surgery. Updated August 2010. Accessed November 18, 2010.


Fernandez-Montoli ME, Baldrick E, Mirapeix G, et al. Conservative treatment in gynaecological cancer for fertility preservation. Cochrane Gynaecological Cancer Group. Cochrane Database of Systematic Reviews. 2010;(8).


Morris M, Mitchell MF, et al. Cervical conization as definitive therapy for early invasive squamous carcinoma of the cervix. Gynecol Oncol. 1993;51(2):193-196.


Stenchever MA. Comprehensive Gynecology. 4th ed. St. Louis, MO: Mosby; 2001:878-880. 


6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

 

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