What is cone of the cervix
Koninization is the surgical procedure for removing a fragment of the cervix of a conical shape. This fragment includes pathological tissue and a small area of ??the cervical canal. The main goal of such an operation is to treat the cervix and identify a probable pathology in the form of invasive cancer.
Conjunction of the cervix is ??done in cases where the altered tissue is placed deep in the cervical canal, and there is no guarantee that the biopsy will be reliable. This is because the non-detected malignant process can provoke serious problems for the woman's health.
During the procedure, the doctor will receive a small piece of the mucous membrane of the cervix, which is sent for histological examination. In the absence of cancer, the results of the study will be negative. The result of surgery will be the removal of a small piece of the cervix with a modified epithelium. This means that a woman will get rid of the risk of developing cancer. In addition, histology will determine the cause of tissue change - a chronic viral or bacterial infection.
Indications for this surgical operation are dysplasia of cervical epithelium cells, which is confirmed histologically; detection of a large pathological area of ??the cervical canal tissue; the detection of dysplasia with the help of a cytological smear.
That is, conization allows you to accurately find out whether women with dysplasia have foci of invasive cancer and whether it is possible to prevent a malignant process. Contraindications to conization are usually infectious processes in the vagina, ovaries, uterus.
Peculiarities of cervical conization
Before this manipulation, a woman undergoes a preliminary examination. This is the delivery of blood and urine tests, the study of smears from the vagina, biopsy of the cervix, colposcopy. All the above procedures are recommended for the first phase of the menstrual cycle. Today, conization is carried out in three ways:
- Laser. This method is the most expensive.
- Apparatus of radio wave surgery "Surgitron". This is the so-called loop electro-channelization.
- The scalpel. In our time, the method is almost not applied because of its high traumatism.
Manipulation is done under local anesthesia. As a rule, this is lidocaine with adrenaline. The duration of the operation does not exceed 15 minutes.
How does conization affect subsequent pregnancy
Most often before such an operation, women are asked by doctors if pregnancy is possible after the operation. The answer to this question is positive if the operation is done successfully. In this case, there are no concomitant factors of infertility.
Difficulties with conceiving and bearing a baby can occur only in the presence of complications after surgery. Such complications include stenosis of the cervical canal and occlusion of the external throat of the uterus, inflammation of the appendages caused by infection and changes in cervical mucus, and ischemic-cervical insufficiency. If it is a complication such as stenosis, then it can be treated by mechanical extension. As for the possible obstruction of the uterine throat, this is also restored. Inflammatory processes and Isthmiko-cervical insufficiency after conization require complex treatment, and when cervical mucus is changed, artificial insemination or in vitro fertilization is recommended. After all, in this case, fertilization by natural means is almost impossible.
It is necessary to know that diseases caused by complications of conization of the cervix sometimes lead to a cervical factor of infertility. This is 10% of all cases. Therefore, women need to be attentive to their health, regularly monitored by gynecologists and fulfill their prescriptions, recommendations.