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Case Reports
. 2011 Aug;118(2 Pt 2):484-486.
doi: 10.1097/AOG.0b013e3182234f5e.

Management of hematocervix after loop electrosurgical excision procedure

Alexander C Perino  1 , Johanne Python, L Chesney Thompson
Affiliations
Case Reports

Management of hematocervix after loop electrosurgical excision procedure

Alexander C Perino et al. Obstet Gynecol. 2011 Aug.

Abstract

Background: Management is not established for the uncommon complication of cervical stenosis secondary to a loop electrosurgical excision procedure resulting in a hematocervix.

Case: A premenopausal woman underwent an electrosurgical procedure performed without complications and subsequently developed amenorrhea. The patient was determined to have developed a hematocervix secondary to the electrosurgical procedure. Increasingly aggressive methods were attempted to drain the hematocervix, finally with successful drainage being accomplished with the use of a manual vacuum aspirator. A catheter was then used to maintain patency of the cervical canal as it re-epithelialized.

Conclusion: Manual vacuum aspiration and placement of a catheter to allow for re-epithelialization is a successful strategy to deal with hematocervix caused by electrosurgical procedures.

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