What are the precautions for cervical surgery?

Many patients with cervical erosion need surgical treatment if the condition becomes serious in the later stages, because this will allow the disease to be controlled more promptly and damage to be reduced. Patients after surgery need to pay attention to many things, such as stump bleeding, wound infection, regular follow-up visits, etc., which are all things patients need to pay more attention to.

1. Bleeding from the stump:

Early bleeding is mostly due to the shedding of electrocoagulation scab or loose ligation on the wound, so we require patients to move less in the early stages of surgery (while general surgery encourages early activity); bleeding about 2 weeks after surgery is mostly caused by suture absorption and loss of tension, and wound infection can also trigger or aggravate bleeding. For patients with bleeding after cone biopsy, those with mild bleeding (less than menstrual volume) can be observed and treated with hemostatic drugs; those with severe bleeding need direct visual inspection to find the bleeding site, apply pressure to stop bleeding, and suture if necessary.

2. Wound infection:

The incidence rate is about 5%. In addition to emphasizing the inspection of vaginal cleanliness, treatment of vaginal inflammation, and vaginal douching before surgery, antibiotics should be used appropriately after surgery. We ask patients to start vaginal douching one week after surgery to reduce wound infection and promote healing. At first, you can use some medicine (you should go to the hospital for specific details) to dilute and then rinse. After 2 weeks, you can rinse with boiled water. You need to buy special flushing equipment (available at pharmacies). It usually takes 2-3 months to flush, and it cannot be flushed during menstruation.

3. Cervical stenosis:

This occurs in about 4% of patients. We ask patients to pay attention to their menstrual period after surgery. If they experience menstrual irregularities or abdominal pain, they should seek medical attention promptly and undergo cervical dilation if necessary.

4. Regarding regular follow-up:

Check the wound healing status and handle any abnormalities promptly. We will decide whether to continue vaginal douching based on the situation. At 3 months after surgery, cervical cytology (TCT) or human papillomavirus will be rechecked; followed by rechecks at 6, 9, and 12 months, with the same items as before. You should continue to have a check-up in the second year. If the results of the previous times are normal, you should have a check-up every six months; if they are also normal, you can have a check-up once a year thereafter.