Conization of the cervix with the CO2 laser as an office procedure

Conization of the cervix is usually done under general anesthesia in an operating room. The use of the CO2 laser has been shown to reduce the high morbidity associated with cervical conization, but, like cold-knife conization, laser excisional procedures are still usually done in an operating room under general anesthesia. Forty-one patients underwent conization of the cervix with the CO2 laser in an office setting. The procedure was well tolerated, and intraoperative bleeding was not a problem. Two cases of delayed postoperative bleeding were treated on an outpatient basis. The ability to perform cervical conization in an office setting offers significant advantages.