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Operations: Amputation of the cervix

Insurance code: Q0100

Introduction: This information is written by John Fairbank and is provided for the benefit of his patients. Additional information will be given during consultation in the clinic and during the pre-operative discussion. It is not appropriate for all surgeons’ individual practice or for all patients.

Purpose of operation: To remove the cervix. This operation is usually done if cervical smears continue to be abnormal after more limited surgical procedures.

Description of procedure: The lower part of the bladder is reflected upwards off the cervix and the rectum is mobilised backwards. The cervix is then removed and the flaps of skin at the front and back of the cervix are stitched back in place to close the defects. It would not be practical to carry a pregnancy after this operation so it is limited to individuals who do not want to get pregnant in the future.

Anaesthetic These operations are usually carried out under general anaesthetic.

Post-operative management The catheter is normally removed the following day. The IV fluid line is left in place until oral fluids are tolerated. The painkilling pump is kept in place until it is no longer required. A small vaginal pack is removed the following day.

Potential complications Potential complications include bleeding at the time of surgery or bleeding during the post-operative period. This is evident by falling blood pressure and a high pulse rate so the nursing staff will monitor these vital signs closely during the post-operative period. Antibiotics are given at the time of surgery but high temperatures and malaise during the recovery are signs of infection. Thrombosis or DVT’s are common following pelvic surgery so stockings are fitted and heparin injections are given to thin the blood.

Post-operative consultation
It is good practice to meet about four weeks after the date of the operation to check the vaginal incisions. It usually takes about four weeks for energy levels to recover. The pathology results on the cervix will be reviewed and further cervical smears will be organised. A final letter will be written to the GP.

Relevant websites

Excellent information on cervical disease colposcopy and cervical treatments

Information on cone biopsy