Reference no: EM133821615

Question

Preoperative diagnosis: Cervical lesion Postoperative diagnosis: Squamous intraepithelial lesion of the cervix Indications for procedure: This is a 27-year-old female who presented for her annual Pap and pelvic examination. The results of the Pap smear identified an abnormality. The follow-up Pap confirmed the abnormality, and an ultrasound was performed, after which surgery was scheduled to get a definitive diagnosis. Procedure: The patient was placed in the supine position and administered general anesthesia. She was placed in cane stirrups and then prepped and draped in the usual fashion, although her vaginal vault was not prepped in any way. A coated speculum was inserted, and the cervix was exposed. It was painted with Lugol, and the entire active cervix was nonstaining with the clearly defined margins where the stain began to pick up. Approximately 6 cc of Lidocaine with 1% epinephrine was then injected into the cervix. A large loop wire was then used to excise the anterior cervical lesion. Conization of the cervical 4.5-cm lesion was performed. All specimens were sent to pathology at this time. Hemostasis was achieved using cautery and then Monsel. All instruments were removed and accounted for.