Obstet Gynecol Sci.  2023 Nov;66(6):584-586. 10.5468/ogs.23066.

Cervical conization with endoCUT mode applying gastrointestinal endoscopic polypectomy technique

• Tamate M
• Matsuura M
• Saito T

• KMID: 2547859
• DOI: http://doi.org/10.5468/ogs.23066

Abstract

Objective
To show how endoCUT mode can be safely managed with cervical conization.
Methods
Demonstration of the technique and explanation of endoCUT and soft coagulation mode with narrated video footage. Cervical conization is a therapeutic and diagnostic procedure performed for the diagnosis of cervical intraepithelial lesions and cervical cancer. Specific methods include cold scalpel, ultrasonically activated device and laser, and loop electrosurgical excision procedure (LEEP), which involves transpiration and partial excision. The endoCUT mode and soft coagulation in VIO3^® (ERBE, Tübingen, Germany) were used to perform cervical conical resection safely and at low cost. The endoCUT mode was originally developed for polypectomy in gastrointestinal endoscopy, where no counter traction can be applied.
Results
The endoCUT mode approach to cervical conization with several key strategies to minimize blood loss and ensure safety: 1) incisions can be made in close contact; 2) resection can be performed with minimal contact with the lesion; 3) control of bleeding from the resected transection by soft coagulation; and 4) low running cost of endoCUT mode.
Conclusion
Conventionally, cervical conical resection has been performed by using a device capable of making a close incision (cold scalpel, ultrasonically activated device and laser, and LEEP etc.), but there have been issues with bleeding control and cost. Here, we present a new technique using the endoCUT mode and several strategies for safe and effective resection.

Keyword

EndoCUT; Conization

Figure

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  Fig. 1 Principle of endoCUT. This mode can repeat cut and coagulation automatically, and there are three manually adjustable parameters: cutting duration, cutting interval and effect.

Reference

References

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2. Pohl H, Grimm IS, Moyer MT, Hasan MK, Pleskow D, Elmunzer BJ, et al. Effects of blended (yellow) vs forced coagulation (blue) currents on adverse events, complete resection, or polyp recurrence after polypectomy in a large randomized trial. Gastroenterology. 2020; 159:119–28e2.