- erosion;
- endometriosis;
- ectopia;
- hypertrophy;
- leukoplakia;
- cysts;
- polyps and intraepithelial neoplasia of the cervical canal;
- erosive ectropion;
- cicatricial deformations of various origin.
In addition, coagulation of the cervix allowsperform a biopsy, histological examination, and remove various formations such as condylomas or polyps. All manipulations are performed using devices such as "Surgitron" (manufactured by the American company "Ellman International") or "Nadiya-2" (manufactured in Ukraine). These devices are used for radio wave surgery in general, consist of a body and an electrode, and operate in 4 modes:
- coagulation;
- incision;
- coagulation and incision;
- fulguration.
The device is equipped with various electrodes, which makes the procedure very precise and allows you to customize the device individually for each patient.
Description of the procedure of radio-wave coagulation
This method of treating cervical diseases works according to the following scheme:
With this manipulation the impact occursexclusively at the required level, the lower layers of tissue are not damaged or injured. The main feature of radio wave coagulation is the absence of bleeding, which promotes rapid wound healing and eliminates the formation of large and rough scars. The procedure is performed in the first phase of the menstrual cycle, mainly from the 4th to the 7th day. No special conditions are required, radio wave coagulation is performed in regular antenatal clinics and lasts from 2 to 5 minutes. Since the method is considered painless, additional anesthesia is not used, but an ointment with anesthetic is used (in the form of a local application). An exception may be a severe form of cervical dysplasia, in which case the anesthesiologist will provide anesthesia for 5-10 minutes. After the manipulations, the area that was affected turns white. After a week, it begins to be rejected, and healthy tissue appears in its place. General healing usually occurs within 6-8 weeks, but the final assessment is given only by the doctor after the final colposcopic examination. Recovery time depends on the complexity of the diagnosis and the physiological characteristics of the patient's body.
Nuances and limitations
In each specific case, the gynecologist will give individual recommendations, but there are general rules that should be followed in the postoperative period:
- abstain for 1-2 months from sexual intimacy;
- do not take a bath;
- do not engage in heavy physical labor, eliminate loads;
- do not swim in water;
- Do not use tampons during menstruation.
Because after radio wave coagulation of the cervixIf patients have bloody discharge from the uterus, it is recommended to use sanitary pads for 2-3 weeks. This method still has its contraindications. Some of them are strict, while others are rather relative:
- acute inflammatory processes in the small pelvis;
- exacerbation of chronic inflammatory processes in the small pelvis;
- use of a pacemaker by the patient (this nuance requires additional precautions);
- categorical refusal of the patient from treatment by radio-wave coagulation.
To prepare for coagulation, it is necessary to dosmear for flora, conduct oncocytological and histological examination of the area with pathological changes, undergo a thorough examination by a gynecologist. If such a need arises, the doctor may prescribe additional tests for latent infections.
Advantages of radio wave coagulation
Radio wave surgery method for diseasescervical coagulation has a number of undeniable advantages. For example, this method of treatment is successfully used for teenage girls and for women who have not given birth. Here, the decisive factor in choosing a method is the exclusion of tissue scarring, which means that the cervical canal will open normally during childbirth in the future. If it is necessary to eliminate the most severe form of cervical dysplasia, then coagulation is performed even on pregnant women. Radio wave coagulation has the following advantages:
- speed of the procedure;
- accuracy of exposure to diseased tissues and absence of damage to healthy tissues;
- effectiveness of treatment (most often only one manipulation is required, and relapses are almost absent);
- speed and painlessness of the healing process;
- absence of scars on the cervix and the possibility of using coagulation in nulliparous women;
- absence of bleeding;
- Possibility to obtain material for histological examination of tissues without pain;
- absence of the need for additional processing of the postoperative wound (since a natural fibrin film is formed that protects the wound);
- The presence of a sterilizing effect that provides radio waves during the procedure;
- Preservation of the original natural form of the cervix.
Laser coagulation
For the treatment of cervical diseases, it is usedalso laser coagulation. It is practically no different from radio wave and has the same advantages and nuances. The peculiarity is the use of a laser beam, which affects pathological areas of tissue. During the procedure, the doctor controls the direction and depth of the laser beam with a colposcope (optical device). This is an effective and painless, but expensive treatment. The main advantage of laser coagulation is the use of the method in cases of serious pathologies that are poorly amenable to other types of therapy. But there are also risks: insufficient qualifications and negligence of the doctor can lead to very undesirable consequences: scars and burns. Also, laser coagulation of the cervix is not prescribed to women suffering from the following diseases:
- renal and heart failure;
- mental disorders;
- diseases of the circulatory system;
- violations of the glands of internal secretion.
Radio wave coagulation is a reliable,a quick and painless way to get rid of many cervical pathologies. Following all the doctor's recommendations and prescriptions, you can return to your normal life in a month.
