title: [Conisation during pregnancy (author's transl)].
abstract: The paper reviews 15 cases undergoing conisation during pregnancy. In 2 conisation was immediately followed by radical operation for invasive squamous carcinoma. 11 patients had pre-invasive carcinoma by microscopic evidence on serial step sections, while the remaining 2 showed high-grade dysplasia of the cervix. Atypical tissue was successfully removed in toto in 6 of the 8 cases with lesions predominantly localizing at the cervical surface. Of the 5 abnormal epithelial processes which were almost entirely endocervical only 1 was completely removed. Abortion occurred in 4 of the 13 patients undergoing conisation without prophylactic cerclage. Shirodkar's operation was done at the time of conisation in 7 cases, in one after an interval of 10 weeks. This prophylactic measure failed to prevent prematurity in 2 cases, while the remaining 6 gave birth to living and mature infants between the 37th and the 40th week of gestation.
mesh_terms: D000022:Abortion, Spontaneous / Q000209:etiology; D000328:Adult; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D002578:Uterine Cervical Dysplasia / Q000601:surgery*; D002581:Uterine Cervical Incompetence / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000601:surgery*
vernacular_title: Zur Frage der Konisation während der Schwangerschaft.