What Are the Precautions for Cervical Conization Surgery?

Cervical conization, a common surgical procedure in gynecology, aims to remove pathological lesions from the cervix. This surgery has strict indications, generally applicable to cervical intraepithelial neoplasia grades 2-3. It is recommended for women who do not plan to have children and have severe cervical erosion. However, there are several essential considerations following cervical conization. Let's explore what these are:

1. Active Prevention of Post-surgical Infection:

Cervical conization leaves a small wound, which, if not properly cared for, can lead to infection. Therefore, it is crucial to actively prevent infection after surgery, sometimes even requiring the use of antibiotics.

2. Vigilance for Post-surgical Bleeding:

Within three weeks of surgery, minor vaginal bleeding is normal. However, if bleeding persists beyond this period or if pinkish fluid is discharged without improvement, it could indicate unresolved post-surgical bleeding. In such cases, bed rest and immediate medical attention are advisable, with the doctor determining the need for hemostatic medication.

3. Maintaining Vulvar Cleanliness Post-surgery:

After surgery, vaginal discharge increases, emphasizing the importance of vulvar hygiene. Especially during the first 2-3 weeks, when discharge is abundant, keeping the area clean is essential. Regular rinsing of the vulva is recommended, avoiding baths and internal vaginal rinsing.

These are the key considerations following cervical conization. Additionally, it's worth noting that this surgery carries a risk of cervical adhesion. If menstrual bleeding is scant and accompanied by abdominal pain after the expected menstrual cycle, cervical adhesion may have occurred. In such cases, prompt medical attention and timely intervention are crucial.