Hypertrophy of the cervix: inflammation, scarification technique

Hypertrophy of the cervix - an increase inorgan size, which develops gradually, with prolapse or lowering of the uterus itself. Hypertrophy and elongation of the cervix often reaches large sizes. If hypertrophy occurs with lowering or prolapse of the genitals, then it has no independent significance. Sometimes there were cases when patients complained of prolapse, but this fact was not confirmed during examination. Meanwhile, the hypertrophied part of the cervix still protruded from the genital slit. If the hypertrophy lengthened, then the anterior lip of the vagina protruded above the back, slightly covering it. If hypertrophy of the vaginal part causes the patient to feel like she is falling out, but the bottom of the uterus is not lowered, then this is a direct sign for removing the hypertrophied cervix. Quite often there is a feeling that the uterus is lowered. This looks like an isolated phenomenon, accompanied by a sensation, and later by its actual prolapse. In this case, a more complex operation is required.

Chronic inflammation

Hypertrophy or thickening of the cervix -This is the result of chronic inflammation. In most cases, the cervix and its body are simultaneously affected by the inflammatory process. The thickening caused by the inflammatory process can be observed as follicular hypertrophy of the cervix. In the place of the inflamed mucous membrane (cervical canal) there are glandular passages that turn into retention bubbles containing mucus and become clogged. The growing and inflamed stroma provokes the pinching off of glandular follicles. Then they grow into cysts the size of a millet grain. In some cases, they can reach the size of a pea, and then - Nabothian testes. Nabothian testes penetrate especially deeply into the tissue at the site of erosion. They can lead to thickening and a large increase in the cervix as a whole. An indication for surgical treatment of hypertrophy that arose due to chronic inflammation is the follicular form of hypertrophy, if it is preceded by hyper- and polymenorrhea, leucorrhoea, sacral pain. Sometimes, a regular scarification of the cervix can give a satisfactory result. Contraindications for scarification:

acute and subacute inflammation in the pelvis,
chronic inflammation of the pelvic peritoneum, cellulose, appendages.

Scarification technique

The vaginal part and the vagina itself need to beFirst, disinfect with iodine tincture and alcohol in the mirrors. Use bullet forceps to grasp and fix the vaginal part of the uterus. It is not recommended to lower the vaginal part too much, so as not to cause pain. The cervix does not need to be grasped with forceps, but only exposed with mirrors. After re-lubricating the vaginal part with iodine tincture, the visible Nabothian testicles are pierced with a pointed scalpel and small incisions are made around the cervical os and radial incisions to it, which penetrate the tissue by 0.5-1 cm. If the bleeding after scarification is not very strong, then it is not necessary to achieve its complete cessation. Later, it will stop on its own. If the bleeding does not stop, then the vagina is tamponed with sterilized gauze, which is sprinkled with streptocyte powder. This tampon remains in the vagina for 12-24 hours. It is recommended to stay in bed for 1-2 days. Since the cause of the disease is inflammation, then after scarification, in 1-2 weeks, it is necessary to continue treatment with iodine-glycerin tampons.