How to prevent recurrence of cervical conization?

Cervical conization is a surgical procedure to remove the cervix. Through this procedure, cervical lesions can be prevented and removed to ensure the patient's physical health. However, since cervical conization surgery has a great impact on fertility, you must consider carefully before doing it. On the other hand, after the cervical conization surgery, postoperative care is required to promote recovery and prevent recurrence. Below, we will bring you relevant introduction!

1. What is cervical conization?

LEEP cone biopsy of the cervix is ​​suitable for CIN1, CIN2, or diagnostic cone biopsy. It is performed on an outpatient basis, does not require anesthesia, has a short operation time, is simple and easy, and has less trauma. However, some hospitals question whether the cutting depth is sufficient, as the electric current may damage the tissue edges and affect postoperative pathological examination. Cervical cold knife cone biopsy is mostly suitable for more serious lesions such as CIN3, cervical carcinoma in situ, cervical glandular intraepithelial lesions, etc. It requires hospitalization, has a larger excision range, slightly greater trauma, and needs to be performed under anesthesia. Cervical conization has a certain effect on reducing the titer of HPV because it removes the diseased tissue, but not all patients can turn negative. Whether it turns negative depends on the patient's resistance and whether there is further contact with the HPV virus.

After cone biopsy, the postoperative pathological results are the most important, and it is even more important to take appropriate measures based on the results. This is one of the reasons why cone biopsy must be done.

2. Who is it suitable for?

Through cone biopsy, patients with CINIII are confirmed to have hysterectomy if they do not want to have children and are older. For younger patients who want to have children, the uterus can be retained for close follow-up. When cone biopsy confirms that the patient has cervical carcinoma in situ, hysterectomy is usually required if there is no desire to have children. However, for patients who still want to have children, they can try to become pregnant under close monitoring. When cone biopsy confirms early invasive cancer, if there is a desire to have children, radical cervical resection, uterus retention, and artificial insemination can be considered, and for patients who do not want to have children, hysterectomy and radical hysterectomy can be performed.

3. How to prevent recurrence?

The following treatments are done after cervical conization:

1. Use antibiotics and hemostatics to prevent infection and bleeding.

2. There may be a small amount of bloody secretions on the wound surface after the operation, which does not require treatment. If there is a lot of bleeding, you can use gelatin sponge, hemostatic powder or gauze to apply pressure to stop the bleeding, and suture it if necessary.

3. Generally, the wound surface will be covered with mucosa 5 to 6 weeks after surgery, at which time a uterine probe can be used to explore the cervical canal. If cervical stenosis is found, a small dilator can be used to dilate it to facilitate menstruation.