Cold Knife Conization With and Without Lateral Hemostatic Sutures

The treatment of high grade Cervical Intraepithelial Neoplasia (CIN) 2, 3 is defined according to the colposcopic evaluation of the patient. In case colposcopy findings are satisfactory (visible squamocolumnar junction), both ablative and excisional methods are adequate. In the middle of the 20th century, lateral hemostatic sutures were added to the cold knife conization surgical technique to reduce blood loss. Some authors recommend that these branches should be ligated, but it remains unclear whether these sutures are actually effective in reducing bleeding.This study compared blood loss during cold knife conization of the cervix with and without lateral hemostatic sutures.

Sex

Female

Minimum age

15 Years

Maximum age

80 Years

Inclusion Criteria:

* indication of cold knife conization

Exclusion Criteria:

* conization using techniques other than the cold knife;
* previous cervical conization using any other technique;
* previous pelvic radiotherapy;
* pregnancy; and
* refusal to participate in the study

• DERIVEDBueno LR, Binda M, Monego H, Scherer RL, Rolim KM, Bottini AL, Fregnani JH, dos Reis R. Randomized clinical trial comparing cold knife conization of the cervix with and without lateral hemostatic sutures. Int J Surg. 2015 Jun;18:224-9. doi: 10.1016/j.ijsu.2015.04.081. Epub 2015 Apr 30. PMID 25937157