SURGICAL OR LASER CERVICAL CONIZATION

PRE OPERATIVE PATIENT INFORMATION

The cervical canal is dilated using a surgical instrument. Conization is the removal of the outer portion of cervix for treatment and diagnosis. The removal of the abnormal cells in the cervix can be done by surgical excision or laser destruction. If you are having abnormal bleeding a curettage or the surgical removal of the lining of the uterine wall is done at the time of the dilation and conization. This procedure is done to diagnose and/or treat the cause of abnormal vaginal bleeding and to remove any abnormal cells from the cervix.

PRE OPERATIVE MEDICAL INFORMATION:

1. The office has pamphlets and a movie explaining the surgical procedure called a cervical conization. We encourage you to read and view this information. The week prior to your surgery you will have an appointment with the doctor to answer any questions or concerns you may have regarding your surgery. We recommend you make a list of questions to bring to that appointment.

2. A cervical conization is done on an outpatient basis. You should plan on being at the hospital about 6-8 hours the day of your surgery. Plan to have someone to drive you home form the hospital.

3. Recovery time after a conization is 1-3 days. During this time you should plan to stay home, rest and recuperate. Some women return to work the next day depending on their job requirements.

4. The NIGHT BEFORE SURGERY you should have a light dinner, then NOTHING TO EAT OR DRINK after 12 midnight. If you are on medication please check with the doctor prior to taking the medication the morning of surgery.

DAY OF SURGERY INFORMATION:

1. Please do not chew gum or smoke the day of surgery. You should remove jewelry, nail polish and contact lenses prior to coming to the hospital. Do not bring large amounts of cash or valuables to the hospital.

2. Arrive at the hospital 2 yours prior to the scheduled surgery.

3. At the hospital laboratory test on your blood and urine will be done to determine if there are any abnormalities that may be of importance to your surgery. A chest x-ray may also be done depending on your health needs.

4. You will speak to an anesthesiologist regarding your anesthesia prior to surgery.

5. The surgery will take approximately 45 minutes. You will remain in the recovery room until you are fully awake. When fully awake you will be allowed to go home.

PLEASE ARRIVE AT THE HOSPITAL 2 HOURS BEFORE YOUR SURGERY TIME.

POST OPERATIVE PATIENT INFORMATION

The cervical canal is dilated using a surgical instrument. Conization is the removal of the outer portion of cervix for treatment and diagnosis. The removal of the abnormal cells in the cervix can be done by surgical excision or laser destruction. If you are having abnormal bleeding a curettage or the surgical removal of the lining of the uterine wall is done at the time of the dilation and conization. This procedure is done to diagnose and/or treat the cause of abnormal vaginal bleeding and to remove any abnormal cells from the cervix.

1. The office has pamphlets and a movie explaining the surgical procedure called a cervical conization. We encourage you to read and view this information. The week prior to your surgery you will have an appointment with the doctor to answer any questions or concerns you may have regarding your surgery. We recommend you make a list of questions to bring to that appointment.

2. A cervical conization is done on an outpatient basis. You should plan on being at the hospital about 6-8 hours the day of your surgery. Plan to have someone to drive you home form the hospital.

3. Recovery time after a conization is 1-3 days. During this time you should plan to stay home, rest and recuperate. Some women return to work the next day depending on their job requirements.

4. The NIGHT BEFORE SURGERY you should have a light dinner, then NOTHING TO EAT OR DRINK after 12 midnight. If you are on medication please check with the doctor prior to taking the medication the morning of surgery.

DAY OF SURGERY INFORMATION:

1. Please do not chew gum or smoke the day of surgery. You should remove jewelry, nail polish and contact lenses prior to coming to the hospital. Do not bring large amounts of cash or valuables to the hospital.

2. Arrive at the hospital 2 yours prior to the scheduled surgery.

3. At the hospital laboratory test on your blood and urine will be done to determine if there are any abnormalities that may be of importance to your surgery. A chest x-ray may also be done depending on your health needs.

4. You will speak to an anesthesiologist regarding your anesthesia prior to surgery.

5. The surgery will take approximately 45 minutes. You will remain in the recovery room until you are fully awake. When fully awake you will be allowed to go home.

PLEASE ARRIVE AT THE HOSPITAL 2 HOURS BEFORE YOUR SURGERY TIME.

POST OPERATIVE PATIENT INFORMATION

Vaginal bleeding
It is normal to have slight vaginal spotting and discharge for several days. You should avoid the use of tampons or douching for 2 weeks without exception.

Pain
Some women experience discomfort following the procedure. You can take Extra Strength Tylenol or Advil, 1-2 tablets every 4-6 hours, unless otherwise directed by the doctor.

Sore throat
It is possible to develop a sore throat from the airway tube used in your windpipe during your anesthesia. Hard candy and/or Cepacol throat lozenges can provide relief.

Activity
You should have someone to drive you home from the hospital, then do not drive on your surgery day. Rest as much as possible, limit your activity to only what is necessary until you feel stronger. Some women feel like going back to work the next day, depending on their type of employment. You should be able to return to work no later than 3 days after surgery.

Diet
You may resume your diet as you become hungry. It is normal to experience some nausea after anesthesia. Start with bland food the night after surgery then resume your regular diet the next day. It is best to avoid drinking carbonated beverages for 48 hours.

Elimination
It is important to have regular bowel movements after surgery. To aid this you should drink lots of fluid, including prune juice daily. You should increase the fiber, such as raw vegetables, cereal and fruit, in your diet. If your bowel movements are constipated you should take Dialose or Colace, 1 capsule daily to prevent constipation. Some women experience gas retention after surgery. If this is a problem you can use Mylicon Chew Tablets as directed.

Bathing
You may bathe as desired.

Sexual activity
You should avoid sexual activity for as least 2 weeks. At your 2 week follow up appointment the doctor will discuss resuming sexual activity.

REASONS TO CALL THE DOCTOR:

  • Excessive vaginal bleeding.
  • Foul vaginal discharge.
  • Fever over 100 degrees.
  • Acute pain that is not relieved by rest and/or pain medications.

 

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