Cold Knife Conization of the Cervix

Overview

4.3 out of 5 (3 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Jan 2021

Last Review Date

26 Oct 2023

Expiration Date

31 Dec 2023

Estimated Time To Finish

60 Minutes


 
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Activity Description

Cervical conization is an excisional surgical procedure employed to diagnose cervical dysplasia and for therapeutic purposes in some patients. Also known as cone biopsy, this procedure involves the removal of a cone-shaped section of the cervix, encompassing the entire transformation zone and any suspicious cervical lesions. This excised tissue is subsequently subjected to histological analysis. When all cervical dysplastic lesions are contained within the specimen, the procedure serves both diagnostic and therapeutic purposes.

Cervical conization can be conducted using various techniques, such as cold knife cone (CKC), laser conization, and the loop electrosurgical excision procedure (LEEP), which is also referred to as loop excision of the transformation zone (LLETZ).

Typically, diagnostic excisional procedures are performed when a histological evaluation is required, such as in cases of discordance between cervical cytology and biopsy findings, evidence of severe cervical dysplasia, or the inability to visualize the cervical transformation zone fully. LEEP and CKC are the most commonly utilized methods for cervical conization, and studies have shown them to be equally effective in diagnosing and treating cervical dysplasia. Therefore, choosing an excisional modality is usually based on individualized clinical factors.

CKC is performed with a scalpel, typically under general or regional anesthesia, and is conventionally believed to yield a larger specimen with less thermal damage to the margins compared to other excisional methods. This activity for healthcare professionals is designed to enhance their competence in recognizing indications and contraindications for CKC, understanding the risks, benefits, and complications associated with the procedure, and mastering the technique involved. Additionally, it will review the role of the interprofessional team in caring for patients with cervical intraepithelial neoplasia who undergo CKC, ultimately leading to improved patient outcomes.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the indications for the cervical cold knife cone procedure.

  • Identify the steps in the cervical cold knife cone procedure.

  • Assess and identify the common complications of the cervical cold knife cone procedure.

  • Collaborate with interprofessional team members to optimize outcomes for patients requiring a cervical cold knife cone procedure and to communicate the importance of improving care coordination.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.00 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

Michael B. on 11/2/2021

Cassandra W. on 6/19/2022

dominic g. on 1/22/2024

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