Cervical tissue excision surgery is a medical procedure primarily used for diagnosing or treating abnormal cellular changes in the cervix. This surgery is typically performed by gynecologists or specialized physicians, aiming to remove diseased tissue from the cervix to prevent the development of malignant tumors.
The procedure is mainly categorized into two types: diagnostic excision and therapeutic excision. Diagnostic excision is mainly for obtaining tissue samples for pathological examination to determine the presence of cancer cells; therapeutic excision is for removing confirmed cancerous tissue to prevent further deterioration of the condition.
Cervical tissue excision primarily involves two methods: cold knife excision and electrosurgical excision. Cold knife excision uses a surgical scalpel to directly remove abnormal tissue, while electrosurgical excision uses electric current to burn the lesion site, effectively destroying abnormal cells.
The choice between these methods usually depends on the extent and depth of the lesion. Cold knife excision is suitable for superficial or small lesions, whereas electrosurgical excision is more appropriate for deeper or extensive lesions. The common goal of these methods is to remove diseased tissue and prevent the spread and metastasis of cancer cells.
Cervical tissue excision is mainly indicated in the following situations:
Cervical tissue excision is usually performed under local or general anesthesia. During the procedure, the doctor uses specific instruments to remove the diseased tissue, which is then sent for pathological examination.
Post-surgery, patients typically need to rest for several hours, avoiding strenuous activities and sexual intercourse to prevent bleeding or infection. The doctor will provide post-operative care instructions and follow-up arrangements based on the severity of the condition.
The main advantages of cervical tissue excision include effective diagnosis and treatment of precancerous lesions and early-stage cancers of the cervix, thereby reducing the incidence of malignant tumors.
Like other surgeries, cervical tissue excision may have some side effects or risks. Common side effects include:
Before undergoing cervical tissue excision, patients should pay attention to the following:
Cervical tissue excision may interact with other treatments such as radiotherapy or chemotherapy. Therefore, patients should inform their doctor of any medications they are using and other treatments received prior to the procedure for comprehensive assessment and planning.
Numerous clinical studies confirm that cervical tissue excision is highly effective and accurate in diagnosing and treating cervical abnormalities. Research indicates that early intervention with this procedure can significantly reduce the incidence and mortality of cervical cancer.
If patients are unsuitable for cervical tissue excision, doctors may recommend alternative options such as:
Generally, most people can return to normal work and daily activities within a few days after a cervical biopsy. However, it is recommended to avoid strenuous activities, swimming, or using hot tubs within 24 hours post-examination to prevent infection. Doctors usually advise patients to rest for 1-2 days after the procedure to ensure full recovery.
What preparations are needed before a cervical biopsy?To ensure accuracy and safety of the cervical biopsy, patients should prepare as follows: avoid sexual intercourse for 14 days prior to the procedure; do not use vaginal medications or perform vaginal douching within 24 hours before the exam; and wear loose clothing on the day of the procedure for ease of examination. If there are special circumstances, consult with your doctor in advance.
What are the possible side effects or discomforts after a cervical biopsy?The cervical biopsy is generally a safe procedure, but some patients may experience mild side effects. Common symptoms include mild abdominal pain, slight bleeding or spotting, which usually resolve within a few days. If severe abdominal pain, heavy bleeding, or fever occurs, seek medical attention immediately.
How long does it take to get the results of a cervical biopsy?The results of a cervical biopsy typically take 1-2 weeks. The tissue samples are sent to a laboratory for analysis, and the doctor will provide a diagnosis and recommendations based on the findings. Patients should return to the hospital within the specified time to collect the report and discuss subsequent treatment options with their doctor.
How accurate is a cervical biopsy?A cervical biopsy is a highly accurate diagnostic method capable of effectively identifying abnormal cervical cell changes. However, like all medical tests, it may have some margin of error. To ensure accuracy, patients should communicate thoroughly with their doctor before the procedure and follow all preparation instructions. If there are any doubts, consult your healthcare provider promptly.