WOMENS-HEALTH Messages for June, 2000: Re: Cold Cone vs Lasor Cone

Re: Cold Cone vs Lasor Cone

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 29 Jun 2000 07:42:29 -0500 (CDT)

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In reply to: Taylor: "Cold Cone vs Lasor Cone"

At Thu, 29 Jun 2000, Taylor wrote: >
>I am still confused. Could someone please tell me the differences in
>these two procedures? I understand that a cold cone is done with a
>scaple and a laser cone is done with a laser but I have also heard that
>post opp a cold cone can bleed more and has stitches. Is this correct?
>Could someone please give me the details. Thank you
>
>--
>Taylor
>

Taylor, There are advantages and disadvantages of either approach. The primary difference is the method of "cutting". The cold knife uses a scalpel and the laser uses a laser to cut. The laser tends to coagulate any bleeding while it is cutting, with the knife, you may and usually do require sutures-that dissolve. Both heal about the same. One advantage of the cold knife cone is the specimen that is given to the pathologist. Most pathologists will tell us that the cold knife specimen is more easily analyzed. The laser tends to "burn" the margins of the surgical specimen which makes it harder to comment on the degree of abnormality present. This can be a very important aspect because it tells us whether the cone cured things or if further therapy is required... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Changes in Biopsey's for dysplasia"
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In reply to: Taylor: "Cold Cone vs Lasor Cone"

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