What is cervical diathermocoagulation

Diathermocoagulation is one of the surgical techniques used in modern gynecology. This method is not innovative and is used for a long time while eliminating cervical benign pathologies.

At present, we developed and implemented a modern and sparing treatments, but diathermocoagulation remains one of the most common and popular intervention. This is due to the constant increase in the number of gynecological cervical abnormalities and lack of expensive equipment.

Diathermy can be done in almost any medical institution. Performing the procedure does not require specially trained personnel and innovative equipment. Despite the high invasiveness, diathermocoagulation method is quite effective.

Cervical diathermocoagulation often performed to eliminate the pseudo. This pathological condition is approximately 80% of all erosions. Feature pseudo-is that it can become the background for the development of malignant tumors of the cervix.

Pseudo differently it called ectopia acquired. It is a form of erosion that occurs in response to the presence of a true erosion.

Erosion is considered to be the most common cervical pathology. In fact, the term refers to not one, but several states of the cervical epithelium.

The cervix is ​​lined by two types of epithelium. Vaginal neck portion, which is studied in gynecological speculum has a pale pink color and a smooth surface, due to the lining of flat multilayered cells.

Inside the cervical canal is called cervical. This cervical canal prevents the spread of pathogenic organisms from the vagina into the uterine cavity. The cervical canal is quite narrow. It is covered with a single layer of columnar cells that give the surface a reddish color and some creaminess.

Cervical canal connects the vagina and uterus. In order to prevent casting of microorganisms in the uterine cavity there is a special mechanism. The surface epithelium contains special glands that produce mucus or secret.

Flat and tubular epithelium connected in the transformation zone, which normally is invisible when viewed. However, for some pathologies, this transition zone can be shifted. In particular, this occurs in congenital erosion.

In girls, the vaginal part of the cervix is ​​covered with columnar epithelium. With the onset of sexual development cylindrical cells begin to shift to the cervical canal. Over time, the defect disappears completely.

However, with a lack of certain hormones, this process occurs later. In such cases diagnosed congenital ectopia. This defect, which is the physiological norm. In the absence of inflammation treatment is not required.

If the cervical epithelium is damaged as a result of exposure to various traumatic factors, there is a wound, known as a true erosion. This defect is provided its improper wound healing leading to ectopic or pseudo acquired. When pseudo-delayed wound is not flat and cylindrical cells.

Symptoms of erosion, as such, no. The woman did not bother bleeding, cycle disorders, abnormal discharge and pain, as in other gynecological diseases. These symptoms may appear only in the event that erosion is accompanied by other gynecological diseases.

The clinical picture is characterized by the presence of erosion of the mucous secretions, the occurrence of which is related to the functioning of cylindrical cells glands. After sexual intercourse and cervical examination may appear contact bleeding in small amounts. When the overall stroke is sometimes diagnosed increase leukocyte.

Holding and particularly the rehabilitation period

diathermocoagulation method is considered old, but pretty effective way to eliminate the pseudo. This method began to be used in gynecology one of the first in the treatment of erosive defect. Since the essence of the method is to carry out cauterization, all following methods to resolve the problem began to denote this term.

Many women have heard from your doctor about the need for cervical diathermocoagulation, wondering what it is. The essence of the method is reduced to cauterization cervical portion by high frequency electric current.

Electric current during diathermocoagulation formed between the two electrodes. One of the electrodes having the form of a ball, is introduced directly into the vagina. While the second electrode is located at the lumbar region.

During use diathermocoagulation method made of heat, melts the portion of the mucous. The intervention takes about half an hour. The current is applied several times for a given time.

Diathermocoagulation has an efficiency which is more than 75%.

diathermocoagulation method has the highest risk of complications when compared this method with other tactics. That is why the method is not recommended diathermocoagulation nulliparous patients.

To minimize the risk of complications after diathermocoagulation method, you must pass inspection before cauterization. Finding reveals contraindications for cauterization and detect inflammatory, premalignant and malignant process.

Diagnosis before cauterization by Cervical diathermocoagulation includes:

• visual gynecological examination vaginal portion;
• simple and extended colposcopy;
• cytology;
• Smear on the flora;
• bakposev;
• PCR diagnosis of genital infections.

After implementation of the method diathermocoagulation often develop cervical scar deformity. Cervical channel may be tapered. These complications negatively affect the subsequent course of pregnancy.

Cervix loses its elasticity. During pregnancy and childbirth can occur cervical tissue gap that threatened miscarriage, premature birth and complications during delivery.

After diathermocoagulation method scab is formed, which extends over several days. Sometimes escharotomies occurs earlier, accompanied by spotting and joining infection.

In some cases, cauterization via diathermocoagulation method can induce endometriosis. This occurs when the swelling has arisen prevents discharge of menstrual blood at the subsequent menstruation. As a result, the inner layer of the uterus cells thrown into the abdominal cavity, and take root in a foreign environment for them.

diathermocoagulation method is carried out at the beginning of the menstrual cycle. The choice of this period due to rapid healing of the beginning of the next cycle, which reduces the risk of infection and its duration. At the beginning of the cycle increases the level of hormones that promote tissue regeneration. Thus, the damaged tissue heals by the end of the cycle.

Restoring mucosa takes place within two months. During the first few days, the patient can notice sukrovichnye isolation and pain in the lower abdomen.

In the first month the woman should observe protective regime:

• do not lift weights;
• eliminate sexual life, sauna;
• replace taking a bath shower.

If necessary, the doctor prescribes medications that promote the healing of cervical mucous. If you experience intense pain, discharge with odor, bleeding, as well as the temperature rises, you should contact your doctor and eliminate complications after diathermocoagulation method.