This document provides information about the conization of the uterine cervix surgical procedure:
1) The conization procedure removes cervical tissue to diagnose and treat conditions like cervicitis, epithelial dysplasia, and carcinoma in situ. It can be performed using a scalpel, scissors, or electrocautery.
2) The procedure involves placing a weighted speculum in the vaginal vault, grasping the outer cervix with forceps, performing a dilatation and curettage, and making a circumferential incision around the cervical os using a knife or cautery.
3) Bleeding may be controlled with sutures, electrodessication, or hemostatic agents. The patient is
This document provides information about the conization of the uterine cervix surgical procedure:
1) The conization procedure removes cervical tissue to diagnose and treat conditions like cervicitis, epithelial dysplasia, and carcinoma in situ. It can be performed using a scalpel, scissors, or electrocautery.
2) The procedure involves placing a weighted speculum in the vaginal vault, grasping the outer cervix with forceps, performing a dilatation and curettage, and making a circumferential incision around the cervical os using a knife or cautery.
3) Bleeding may be controlled with sutures, electrodessication, or hemostatic agents. The patient is
This document provides information about the conization of the uterine cervix surgical procedure:
1) The conization procedure removes cervical tissue to diagnose and treat conditions like cervicitis, epithelial dysplasia, and carcinoma in situ. It can be performed using a scalpel, scissors, or electrocautery.
2) The procedure involves placing a weighted speculum in the vaginal vault, grasping the outer cervix with forceps, performing a dilatation and curettage, and making a circumferential incision around the cervical os using a knife or cautery.
3) Bleeding may be controlled with sutures, electrodessication, or hemostatic agents. The patient is
This document provides information about the conization of the uterine cervix surgical procedure:
1) The conization procedure removes cervical tissue to diagnose and treat conditions like cervicitis, epithelial dysplasia, and carcinoma in situ. It can be performed using a scalpel, scissors, or electrocautery.
2) The procedure involves placing a weighted speculum in the vaginal vault, grasping the outer cervix with forceps, performing a dilatation and curettage, and making a circumferential incision around the cervical os using a knife or cautery.
3) Bleeding may be controlled with sutures, electrodessication, or hemostatic agents. The patient is
SpeciolNotes Stirrups are well padded to avoid nerve damage. Lift both legs at the same time when putting the patient in stirrups to prevent postoperative lumbosacral strain. Raise and lower legs slowly to prevent disturbances caused by rapid alterations in venous return. Instruments are set up on back table for the surgeon; usually a scrub person is not required. CONIZATION OF THE UTERINE CERVIX
Armg may be extended on armboard.s. Apply electrosurgical dispersive pad.
Skin Preporotion
Preparation may see
ration.
Dilatation and Curettage, p.
!9 omitted
(check with the surgeon); lE7 , for vaginal i""pu_
Droping
Ilrape sheet under the buttocks, leggings, and drape
sheet over the abdomen
Definition The excision oftissue about the cervical os. Discussion
Eqripment
Sinups Hectrosurgical unit
This procedure is performed to diagnose and"/or treat conditions such as cervicitis, epithelial dysplasia, and carcinoma in situ. Cold conization. refers to scalpel and scissors dissection. Hot cone refers to tissue removal by use of electrocautery.
Hrumentotion I)ilatation and curettage (D & C) tray Cervical cone tray
Procedure
A weighted speculum is placed in the vaginal vault.
The outer portion ofthe cervix is grasped with a tenac-
$pplies telfa (for
specimen)
ulum. Dilatation and Curettage (see pp. 156-157) is performed. The cervix may be stained with Schiller's or Lugol's solution. Sutures are placed at 3 o'clock and 9 o'clock positions. The cervix may be injected circumfer-
entially with a phenylephrine (Neo-Synephrine) solution. The uterine canal is carefully sounded. An incision is made circumferentially around the cervical os using a knife or cautery. Alternatively, a cervical cyst may be electrodesicated with a needle electrode. Bleeding may be controlled with sutures and/or ball electrode desiccation or a hemostatic agent.
krineal pad l$inder or sanitary napkin belt
Snall lasin(s) S*iller's or Lugol's solution (optional) flong_cotton-tipped applicators loptional) lko-Synephrine 1:20,000 (reduces bleeding) with nee_ _dle and syringe (optional) ft-mostatic agent (e.g.. Surgicel, Thrombostat), optional
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