Excision and conization of the cervix (with determination of the frequency of resection margins)

Cervical excision and conization — is a medical and diagnostic surgical procedure aimed at removing pathologically altered areas of the cervix. The method is used for dysplasia, precancerous changes, and suspected cell transformation.

During the intervention, a cone-shaped fragment of tissue is formed, which is sent for histological examination.

A particularly important stage is determining the cleanliness of the resection margins is an indicator that demonstrates whether the pathological focus has been completely removed.

What does the study assess?

• Removal of abnormal cervical tissue

• Presence or absence of altered cells at the edges of the resection

• Risk of residual dysplasia or recurrence of pathology

• Degree of epithelial damage

When is the procedure prescribed?

• Cervical dysplasia (CIN I–III)

• Positive or questionable Pap test result

• Detection of high-risk HPV

• Suspicion of precancerous conditions

• Ambiguous or abnormal colposcopy results

What does the result “clean resection margins” mean?

• Clean edges: no pathological cells were detected - the lesion was completely removed

• Positive edges: abnormal cells are present - monitoring or additional intervention may be required

Advantages of the method:

• Combination of treatment and diagnostics

• High accuracy of histological assessment

• Reducing the risk of dysplasia progression

• Minimizing trauma to healthy tissues

Preparation:

The procedure is performed after consultation with a gynecologist. Additional preparation depends on the doctor's recommendations.