Cold Knife Conization With and Without Lateral Hemostatic Sutures
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.
This is a study that will evaluate two groups of patients undergoing cold-knife conization
 for cervical intraepithelial neoplasia high grade where 50% will undergo hemostatic sutures
 in the lateral cervical and 50% of patients will not be subjected to these sutures. The main
 objective of the study is to evaluate the amount of intraoperative bleeding.
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