Home Common diagnoses Comparison of different techniques for cervical conization

Comparison of different techniques for cervical conization


 

Advantages

Disadvantages

Cold knife conization

Technical simplicity General or regional anesthetic required
Excellent specimen quality Distortion after healing
  Complication rate higher

Laser conization

Good specimen quality Technically difficult
Good hemostasis Expense and upkeep of equipment
Healing with minimal distortion Some thermal damage
Low complication rate A narrow deep cone is difficult
Can be done in an office setting  
Flexible treatment of endocervix

Large loop excision of the transformation zone

Easily done in the office setting Some thermal damage
Rapid performance A large or deep cone may be difficult to perform in the office and result in more thermal damage if a second loop excision is required
Technically easy  
Equipment inexpensive
Low complication rate
Good specimen quality
Healing with minimal distortion