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DIAGNOSTIC CONIZATION
THERAPEUTIC CONIZATION
RISK ASSESSMENT
• Pregnancy
• Bleeding disorders
• Allergies to anesthesia
• Allergies to medication
• Heart disorders
• Anemia
• Blood tests
• Urinalysis
• ECG
• Chest X- ray
• Biopsy cervix
• USG
• Colposcopy
• Schiller test
• Blood thinning medication was stopped
• Douching was stopped 24 hrs before procedure
• Tampons were avoided for 24 hrs before procedure
• Intercourse was avoided for 24 hrs before procedure
ANESTHESIA
• General anesthesia
• Spinal anesthesia
• Local anesthesia
Lithotomy position
THE PROCEDURE
COLD-KNIFE CONIZATION
LASER CONIZATION
AFTER PROCEDURE
FINDINGS
• CIN/ High-grade squamous intraepithelial lesions (HSIL)/ Low-
grade squamous intraepithelial lesions (LSIL)/ Premalignant
glandular epithelium/ Malignant glandular epithelium is identified
POSTOPERATIVE CARE
COMPLICATIONS
• Bleeding
• Cervical stenosis
• Cervical incompetence
• Infections