{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T10:23:02Z","timestamp":1758709382439},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,2,13]],"date-time":"2017-02-13T00:00:00Z","timestamp":1486944000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The incidence of non\u2010obstetrical complications after cervical conization is low, and women receive minimal postsurgical attention. In this study, we investigated whether women felt any discomfort after undergoing conization by harmonic scalpel, one of the hot\u2010knife devices widely used in Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010eight women aged 20\u201347 years who were still experiencing menstrual cycles and had undergone harmonic conization participated in a questionnaire survey regarding perisurgical complications and postsurgical changes in gynecological issues. Correlations between the occurrence of postoperative complications and clinical characteristics were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regarding the complications immediately after the surgery, 37 women (45.1%) complained of postoperative bleeding that was heavier than their usual menstrual bleeding, and 14 (18.2%) reported that the postsurgical bleeding was greater than they had expected. Regarding long\u2010term gynecological changes after conization, 27 women (30.7%) reported that the duration of menstrual bleeding had increased after the surgery, 20 (22.7%) indicated that pain during menstruation had changed, and 40 (45.5%) stated that the amount of menstrual bleeding had changed. Irregular genital bleeding outside of menstruation appeared in 23 women (26.4%). Additionally, 24 (27.6%) of the women reported that the conization procedure negatively impacted their quality of life. Finally, the occurrence of long\u2010term atypical bleeding after the surgery was significantly correlated with the thickness and circumference of the tissue specimen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Several women experienced a significant change in quality of life after harmonic conization. Women who undergo conization should receive a comprehensive preoperative overview of the procedure and attentive postsurgical care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13273","type":"journal-article","created":{"date-parts":[[2017,2,13]],"date-time":"2017-02-13T09:17:29Z","timestamp":1486977449000},"page":"749-757","source":"Crossref","is-referenced-by-count":11,"title":["Short\u2010 and long\u2010term complications and the impact on quality of life after cervical conization by harmonic scalpel"],"prefix":"10.1111","volume":"43","author":[{"given":"Megumi","family":"Furugori","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology and Molecular Reproductive Science Yokohama City University  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikiko","family":"Asai\u2010Sato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology and Molecular Reproductive Science Yokohama City University  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayoko","family":"Katayama","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Cancer Control Division Kanagawa Cancer Research Institute  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumiki","family":"Hirahara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology and Molecular Reproductive Science Yokohama City University  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Etsuko","family":"Miyagi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology and Molecular Reproductive Science Yokohama City University  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,13]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Cancer Registry and Statistics.Cancer Information Service National Cancer Center Japan. [Cited 16 December 2015.] Available from URL:http:\/\/ganjoho.jp\/en\/professional\/statistics\/table_download.html"},{"key":"e_1_2_7_3_1","first-page":"521","article-title":"Trends in the incidence of uterine cancer in Niigata, Japan: A population\u2010based study from 1982 to 2007","volume":"32","author":"Banzai C","year":"2011","journal-title":"Eur J Gynaecol Oncol"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02944.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g6192"},{"key":"e_1_2_7_6_1","unstructured":"HoffmanMS MannWJ.Cervical intraepithelial neoplasia: Procedures for cervical conization updated 9 Jul2015. [Cited 16 December 2015.] Available from URL:http:\/\/www.uptodate.com\/contents\/cervical\u2010intraepithelial\u2010neoplasia\u2010procedures\u2010for\u2010cervical\u2010conization"},{"key":"e_1_2_7_7_1","first-page":"N437","article-title":"Conization of uterine cervix","volume":"57","author":"Kubushiro K","year":"2005","journal-title":"Acta Obstetrica Gynecologica Japonica"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.07.038"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318254f90c"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000010329"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.07.026"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1994.1189"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001318.pub3"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2010.01298.x"},{"key":"e_1_2_7_15_1","first-page":"29","article-title":"Sexual and reproductive outcomes in early stage cervical cancer patients after excisional cone as a fertility\u2010sparing surgery: An Italian experience","volume":"15","author":"Fanfani F","year":"2014","journal-title":"J Reprod Infertil"},{"key":"e_1_2_7_16_1","first-page":"647","article-title":"The influence of surgery of cervical intraepithelial neoplasia (CIN) and cervical carcinoma on quality of life","volume":"69","author":"Jach R","year":"2012","journal-title":"Przegl Lek"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)61152-7"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.13273","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.13273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T19:50:05Z","timestamp":1694893805000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.13273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,13]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1111\/jog.13273"],"URL":"https:\/\/doi.org\/10.1111\/jog.13273","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,13]]}}}