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Conization may be used to diagnose or treat a cervical condition.
Conization is considered the standard treatment for less advanced cancers (stage 1A1).
Complications are less frequent in comparison to a cold knife conization, but can include infection and hemorrhage.
Conization of the cervix is a common treatment for dysplasia following abnormal results from a pap smear.
For 1A1 disease, a cone biopsy (aka cervical conization) is considered curative.
Conization: A procedure to remove a cone-shaped piece of tissue from the cervix and cervical canal.
Cone biopsy (conization) removes a cone-shaped wedge of abnormal cells high in the cervical canal.
A simple trachelectomy refers to the removal of the cervix; this can be considered to be a very large conization procedure.
Shortly afterward, a conization that cored out the cervix showed no invasion and no residual tumor, indicating she was cured.
Conization may be used either for diagnostic purposes as part of a biopsy, or for therapeutic purposes to remove pre-cancerous cells.
As the prognosis of this tumour is usually good, fertility sparing approaches (conization, cervicectomy) may be viable treatment options.
This quickly performed in-office procedure requires only local anesthesia and obviates the risks associated with general anesthesia for cold-knife conization.
Conization removes a cone-shaped piece of tissue using a knife, a laser, or the LEEP technique.
As cerclage can induce preterm contractions without preventing premature delivery, makes the recommendation that it be used sparingly in women with a history of conization.
A cone biopsy (conization) is a more extensive form of a cervical biopsy that removes a cone-shaped wedge of tissue from the cervix.
Some treatments to prevent cervical cancer, such as LEEP, cold-knife conization, or cryotherapy may shorten the cervix.
In selected cases, the outpatient loop electrosurgical excision procedure (LEEP) may be an acceptable alternative to cold-knife conization.
Cone biopsy (conization) can be done using a carbon dioxide laser or loop electrosurgical excision procedure (LEEP).
Menstrual-type cramps may occur after a medical procedure, such as cautery, cryotherapy, conization, radiation, endometrial biopsy, or IUD insertion.
Some women have a weak or short cervix (the strongest predictor of premature birth) The cervix may also have been compromised by previous cervical conization or loop excision.
When the endocervical canal is involved, laser or cold-knife conization may be used for selected patients to preserve the uterus and avoid radiation therapy and/or more extensive surgery.
A carbon dioxide laser can be used to perform a cone biopsy (conization) but is not used as frequently as other conization methods because:
Further diagnostic and treatment procedures are loop electrical excision procedure (LEEP) and conization, in which the inner lining of the cervix is removed to be examined pathologically.
Girardi F, Heydarfadai M, Koroschetz F, et al.: Cold-knife conization versus loop excision: histopathologic and clinical results of a randomized trial.
Naumann RW, Bell MC, Alvarez RD, et al.: LLETZ is an acceptable alternative to diagnostic cold-knife conization.