Electrocautery of cevix

[Indications]
1. Chronic cervicitis.
2. Cervical endometriosis.
3. Mild to moderate cervical intraepithelial neoplasia.
[Contraindications]
1. Acute vulvar, vaginal, cervical or (and) pelvic inflammatory disease.
2. Severe cervicitis, malignant transformation is not excluded.
[Preoperative preparation]
1. Routinely perform cervical smear examination to find cancer cells, and those with suspicious clinical and cytological examinations should undergo cervical biopsy.
2. People with acute genital inflammation should take anti-inflammatory treatment first.
3. No sex life for 3 days before surgery.
[Surgical steps and technical points]
1. Body position: lithotomy position.
2. Disinfection: routinely disinfect the vulva and vagina, put the speculum into it, fully expose and disinfect the cervix.
3. Cervical ironing: wrap the negative electrode plate with a sterile therapeutic towel and place it under the patient’s buttocks. Turn on the power switch, try burning after preheating, and adjust the current and electric heating intensity to the required grade. Choose a suitable electric iron head, touch the cervical lesion, move back and forth in an arc from the 6 o’clock of the posterior lip, and iron the entire erosion surface evenly in turn. , the closer to the periphery the shallower. Note that the depth of electric ironing in the cervical canal should not exceed 0.3cm, in order to preserve the normal function of the glands in the cervical canal and avoid the adhesion or stenosis of the cervical canal.
4. Treatment of cervical retention cyst: After puncturing the cervical gland cyst and squeezing out the cyst fluid, use the electric iron head to penetrate into the cyst wall, reach the base, and destroy the entire cyst wall.
[Postoperative care]
1. Routinely give antibiotics and hemostatic drugs for 3 days.
2. Within two weeks, there will be a lot of light red watery fluid discharged from the vagina, which is a normal phenomenon and does not need to be treated.
3. No sex life within two months.
4. Two-month review, if the wound is not completely healed, a second superficial cautery can be performed.