Genital Wart Surgery

Condyloma acuminata is a viral sexually transmitted disease (STD). Mainly for sexual transmission, a small number can be transmitted through contaminated clothing, bath towels, bath tubs, toilets and so on. The incubation period is approximately 3 weeks to 8 months with an average of 3 months. The population of the disease is mostly women aged 20 to 30. The pathogen is human papillomavirus (HPV), which mainly infects epithelial cells, and its replication requires differentiated squamous epithelial cells. The warm, moist vulvar skin and mucous membrane junction facilitates virus growth and reproduction, especially in sexual life. Part. There are several subtypes related to this disease, mainly 2, 6B/11, 16, 18 and so on. Most are low-risk, and a small number are high-risk, which can cause cancer. 5% of vulvar cancer may result from persistent vulvar lesions. The lesions are characterized by soft skin, mucous membranes, grayish red, pink or grayish white, surface cauliflower and cockscomb-like papilloma-like or sputum. Rapidly developing satellite-shaped lesions can be fused into large clumps distributed in female clitoris, labia, perianal, vaginal and cervix, local itching, exudate after rupture and secondary infection. Pap smear may be abnormal and see atypical cells. Due to low immune function during pregnancy, hormone secretion is strong, especially the effects of estrogen, secretions increase, condyloma acuminata lesions can increase, increase, easy to cause bleeding. Severe cases affect childbirth, and the fetus can develop a laryngeal papilloma through the birth canal. Treatment of diseases: vulvar squamous cell carcinoma Indication 1. Surgical resection is suitable for larger pedicled lumps and lesions that need to be sent for pathological examination to further confirm the diagnosis, or lesions that are difficult to fall off after topical application of chemical drugs. 2, other multi-focal lesions can be treated according to medical conditions, such as laser, microwave, high-frequency electric needle or electrocautery and liquid nitrogen freezing. When there are too many lesions, they can be performed in batches to alleviate the pain of the patient and cooperate with antiviral therapy such as systemic application of interferon. Contraindications There is an acute infection in the vulva. In the case of redness, swelling or exudation, anti-inflammatory treatment should be performed first. After the acute inflammation subsides, surgery can be considered. Preoperative preparation 1. Ask your medical history in detail. 2, carefully check the location and extent of the lesion, pay attention to check the vagina, cervical lesions, if necessary, under the colposcopy. After the cervix is coated with 5% acetic acid solution, the condyloma acuminata lesion can be white papillary shape, which is easy to find. 3. Prepare a laser treatment device, microwave therapy device or cryotherapy device for treatment. The rest is prepared before surgery with general vulvar surgery. Surgical procedure 1. Disinfection, after local anesthesia, use a small sharp knife to cut the skin along the edge of the lesion, and completely remove the lesion. The incision is sutured with 1 to 2 needles. 2, laser treatment using CO2 laser, laser beam direct exposure to gasification, carbonization and crusting, the lesion can be treated in batches. 3. When using microwave or high-frequency electro-acupuncture treatment, the needle-shaped treatment head is placed at the base of the lesion, and the base of the lesion is white or yellow, and sometimes the lesion is shedding or carbonization. 4, during cryotherapy, the needle-shaped frozen head directly contact the lesion, so that the local whitish, often remove the treatment head, the lesion will fall off.