Diathermocoagulation or electrocoagulation of the cervix is a surgical treatment aimed at eliminating the altered portion of the vaginal part of the uterine neck during erosion and other pathologies. In connection with the impressive number of complications after the procedure, this method of treatment is becoming less and less in demand.
Operation procedure
In the process of cauterization of erosion of the cervix with a current, a ball electrode is used. By moving the ball, the affected area of the uterine neck is treated. Then a circular incision is made, depth of 7 mm, with an indentation from the edge of the iodonegative zone by 3 mm. The boundaries of the tissue coagulation zone are marked by colposcopy . The work is carried out with a needle electrode. This procedure allows you to limit the thermal effect on the surrounding healthy cervical tissues.
Possible complications of electrocoagulation of the cervix
The above-described method of treating cervical pathology is considered one of the most unpleasant, long-lasting and giving the greatest percentage of complications. Diathermocoagulation of the cervix is undesirable to nulliparous girls. It is important to know that after this intervention, scars remain. They contribute to the narrowing of the cervical canal and can cause tissue rupture of the neck during labor.
After cauterizing the cervix, the current does not heal faster than after 5 weeks, so the critical days come earlier than normal epithelial tissue is formed. As a result of contact of the endometrium, which is torn from the uterine cavity along with menstrual blood, endometriosis may occur with the wound surface of the neck.
Thus, electrocoagulation of cervical erosion should be resorted to in extreme cases, to which the following are reckoned:
- presence of epithelial lesions of the mucous layer of the cervix;
- the inability to determine the transition zone between normal and erosion cells;
- a recurring course of cervical disease.
Electrocoagulation as a method of treating cervical pathologies is considered obsolete. With the proliferation of modern technologies, such as radio waves, laser therapy, more and more gynecologists are refusing to use the old method in favor of improved procedures, as less traumatic and having minimal risks of complications.