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DIATHERMY CONING IN THE TREATMENT OF NON-MALIGNANT CONDITIONS OF THE CERVIX
BibTeX
@MISC{Thompson_diathermyconing,
author = {William Thompson and B. Sc and Table I},
title = {DIATHERMY CONING IN THE TREATMENT OF NON-MALIGNANT CONDITIONS OF THE CERVIX},
year = {}
}
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Abstract
JOBERT DE LAMBALLE (1843) advocated and practised treatment of the eroded cervix by cauterisation using a glowing iron; he noted that the procedure was painless. Later, Brandes (1846) in Germany popularized the method, using a wooden or ivory speculum to avoid burning the vaginal epithelium and followed the cauterisation by a douche of cold water. In more recent years various methods of chemical cauterisation have been recommended, but they have never been as popular as the actual cautery. Hunner (1906) suggested treating cervical lesions with deep radial cauterisation, and Dickinson (191 1) used a fine nasal tip cautery to produce the same effect. Hyams (1933) reported on the use of an electrosurgical cutting and coagulation technique which has been termed 'diathermy coning of the cervix'. The present study deals with 100 patients with chronic cervicitis treated by this technique in the Royal Victoria Hospital, Belfast, from January 1964 to June 1965 SELECrION OF PATIENTS McLaren (1955) emphasized the difficulty of differentiating between the simple non-infected erosion of the cervix and chronic cervicitis. He suggested, however, that the combination of symptoms, signs and cervical biopsy will usually indicate the type of lesion present and Pinkerton (1963) considered that chronic cervicitis is a common symptom complex consisting of vaginal discharge, deep dyspareunia, lumbo-sacral backache and occasionally recurrent attacks of cystitis. The majority of patients were seen at the gynaecological out-patient department and many had more than one complaint (Table I). In two patients the cervical lesion was an incidental finding- one patient had a Bartholin's abscess and the other was referred for tubal ligation; 9 patients were referred for treatment from the Royal Maternity Hospital with postpartum cervical erosions; 4 patients complaining of vaginal discharge were taking oral contraceptives.
Keyphrases
chronic cervicitis diathermy coning treatment non-malignant condition cervical lesion vaginal discharge lesion present recent year various method cold water deep radial cauterisation patient mclaren vaginal epithelium lumbo-sacral backache postpartum cervical erosion chemical cauterisation oral contraceptive gynaecological out-patient department diathermy coning simple non-infected erosion royal maternity hospital ivory speculum deep dyspareunia jobert de lamballe electrosurgical cutting recurrent attack actual cautery present study deal coagulation technique royal victoria hospital tubal ligation common symptom complex consisting glowing iron cervical biopsy fine nasal tip cautery
