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Contouring of the cervix is indicated for a variety of reasons, the most common being diagnostic and therapeutic. Your doctor may use this test when the results of your Pap smear and biopsy are inconsistent.1. What is a cervical cone?
Cervical conection is the surgical removal of a conical portion of the cervix to remove damage to the cervix and the entire transformed area.2. When to perform cervical conection?
Cervical cone procedure is usually indicated by doctors in the following cases:Need to diagnose precancerous conditions of the cervix in the patient. Treatment of carcinoma in situ, cervical precancerous conditions, or stage IA1 of cervical cancer. Monitor abnormal Pap tests on an ongoing basis. Diagnosis of invasive cervical cancer.
3. Cervical cone procedure
Lên lịch thực hiện thủ thuật khoét chóp cổ tử cung ngày trong tuần sau khi sạch hành kinh
Schedule a cerclage for the day of the week after your period has cleared, and discuss with your doctor any medications you may be taking. use. If you are taking medications that can increase your risk of bleeding, such as aspirin, ibuprofen, naproxen, and warfarin, you should stop. Do not use tampons, enemas or vaginal creams 24 hours before the procedure, or have sex during this time. Fast for at least 8 hours before the procedure. The process of cerclage will go through the following steps:
Step 1: The patient can be under general anesthesia (sleep and painless) or given medicine to help relax, lie on the table and put the feet on the pedals with pelvic examination.
Step 2: The doctor will put an instrument (speculum) into the patient's vagina to help see the cervix more clearly.
Step 3: The doctor will continue to remove a small cone sample from the patient's cervix, the procedure can be done using a hot wire loop, scalpel or laser beam.
Step 4: The removed tissue sample will be examined under a microscope for signs of cancer.
In addition, a cone cervicectomy can also be used for treatment if the doctor wants to remove all of the diseased tissue.
Nếu đang sử dụng các loại thuốc có thể làm tăng nguy cơ chảy máu như aspirin, ibuprofen, naproxen và warfarin thì nên dừng lại
4 . Note during reconstruction after cervical cone surgery
After the cervical cerclage, the patient may have pink, loose vaginal discharge, slight contractions or brown-black vaginal discharge, this is normal and it takes a few weeks for the cervix to heal completely. During this time, the person should not put anything in the vagina and should not have sex.In addition, cervical cerclage can increase the risk of preterm birth or low birth weight for future pregnancies, so it is necessary to monitor health and carefully examine during reconstruction after cervicectomy. uterus.
In rare cases, reconstruction after a cone of the cervix can cause the cervix to narrow and cause menstrual irregularities or make conception more difficult.
In case the patient has had a cone biopsy, a Pap test should be performed every 4–6 months or as recommended by the doctor for regular monitoring and cervical examination.
During the reconstruction period after cervical cone surgery, the patient should pay attention to follow the doctor's instructions and contact them immediately if they encounter the following problems:
Menstruation is heavier than usual Bleeding clots blood clots Abdominal pain After performing a cervical cone, it is necessary to have a follow-up examination to screen for more effective disease.
Currently, at Vinmec International General Hospital, electrocardiogram (LEEP) is one of the important procedures to help screen for cervical cancer in women and is also a part of cervical cancer screening. during the evaluation or treatment of the disease. Patients can be completely assured with the advantages of ease of use, low cost, good hemostasis and especially the ability to remove cervical cancer cells very effectively.
After the procedure, you will have to see the doctor after 1 week and if normal, you will have a gynecological examination every 6 months. You will have cervical cancer screening tests again to make sure all abnormal cells are completely gone and to make sure they don't come back. If abnormal cervical tissue continues to be detected, the patient is likely to require further aggressive treatment.
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