تعريف
Cervical conization is done to remove a cone-shaped piece of tissue from the cervix. The cervix is located at the top of the vagina and is the entry way into the uterus (womb).
أسباب هذا الإجراء
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 abnormalPap smears. Pap smears are screening tests to detect abnormal, pre-cancerous, and cancerous cells in the cervix.
.
المضاعفات المحتملة
Complications are rare, but no procedure is completely free of risk. If you are planning to have a cervical conization, your doctor will review a list of possible complications, which may include:
- العدوى
- نزيف
- Premature delivery with future pregnancies
- Scarring of the cervix
تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:
- التدخين
ما يمكن توقعه
قبل الإجراء
Do not eat or drink anything for 8 hours prior to the procedure.
التخدير
You will be given some type of anesthesia. These options include:
- Local anesthetic—The area will be numbed. IV sedation may also be given to help you relax.
- Regional anesthesia (epidural, spinal)—The lower half of the body will be numb.
- التخدير العام - سوف تكون نائما.
وصف الإجراء
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.
كم من الوقت سيستغرق ؟
The procedure will take less than an hour.
كم هو مؤلم ؟
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.
الرعاية ما بعد الجراحة
في مركز الرعاية
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.
في البيت
عند عودتك إلى المنزل، قم بما يلي للمساعدة في ضمان التعافي بسلاسة:
- 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.
- تأكد من اتباع تعليمات طبيبك .
A postoperative exam takes place at six weeks.
استدعاء الطبيب
بعد وصوله الى المنزل ، اتصل بطبيبك إذا كان أي من الحالات التالية:
- Signs of infection, including fever, chills, or smelly discharge from vagina
- Heavy vaginal bleeding (This may not occur until about one week after the operation, when the healing scar is shed from the cervix.)
- Abdominal or pelvic pain that worsens
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.