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Management of Hematocervix After Loop Electrosurgical Excision Procedure

Perino, Alexander C. BSc; Python, Johanne MD; Thompson, L. Chesney MD

doi: 10.1097/AOG.0b013e3182234f5e
Case Reports
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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.

Manual vacuum aspiration of hematocervix contents followed by catheter placement avoids the unnecessary outcome of hysterectomy.

From the University of Colorado School of Medicine, Aurora, Colorado.

Corresponding author: Alexander C. Perino, BSc, 15629 E 7th Circle, Aurora, CO 80011; e-mail: alexander.perino@ucdenver.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2011 The American College of Obstetricians and Gynecologists