Consequences of cervical trauma as a medical and social problem

Mochalova M.N.; Ryndin V.I.; Mudrov V.A.

doi:https://doi.org/10.17116/rosakush20222206135

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Abstract:

Cervical trauma is one of the main causes of cervical scar deformities, cervical stenosis and stricture, and in some cases, of isthmic-cervical insufficiency during pregnancy. The aim of the study was to address the consequences of cervical trauma as both a medical and social problem. The aim was achieved by using an analytical method: a detailed systematic review of the current domestic and foreign literature was carried out. The study made use of such information bases as e-library, Scopus, PubMed, MEDLINE, ScienceDirect, Cochrane Library since its creation till December, 2021. The consequences of cervical trauma, despite the clear understanding of risk factors and diagnostic methods, remain an important medical and social problem that requires further development of methods of prognosis, prevention and highly effective treatment.

Keywords:

scar deformity

stricture

stenosis

cervix

isthmic-cervical insufficiency

social problem

medical problem

Authors:

Mochalova M.N.

Chita State Medical Academy

Ryndin V.I.

Chita State Medical Academy

Mudrov V.A.

Chita State Medical Academy

Received:

01.02.2022

Accepted:

15.03.2022

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References:

Buyanova SN, Shchukina NA, Petrosyan EI, Dub NV, Kupriyanova AN. Cicatricial deformity of the cervix. A modern view of the problem. Rossiiskii vestnik akushera-ginekologa. 2019;19:4:29-36. (In Russ.). https://doi.org/10.17116/rosakush20191904129
Sergeeva YuA, Gustovarova TA, Kuz’minykh VV. Scarring of the cervix: risk factors, long-term results of plastic surgery in the early postpartum period. Smolenskii meditsinskii al’manakh. 2017;4:42-46. (In Russ.).
Guide for outpatient care in obstetrics and gynecology. Ed. Serov V.N., Sukhikh G.T., Prilepskaya V.N., Radzinskii V.E. M.: GEOTAR-Media; 2016;1136. (In Russ.).
Amirkhanyan AS, Prilepskaya VN, Bairamova GR, Burmenskaya OV, Kostava MN, Asaturova AV. Chronic cervicitis: modern possibilities of diagnosis and treatment. Akusherstvo i ginekologiya. 2018;4:22-27. (In Russ.). https://doi.org/10.18565/aig.2018.4.22-27
Kondrikov NI, Barinova IV. Pathology of the uterus. A guide for doctors. 2nd ed. M.: Practical medicine; 2019;352. (In Russ.).
Krasnopol’skii VI, Buyanova SN, Shchukina NA, Popov AA. Operative gynecology. M.: MEDpress-inform; 2017;320. (In Russ.).
Tansarli GS, Skalidis T, Legakis NJ, Falagas ME. Abnormal vaginal flora in symptomatic non-pregnant and pregnant women in a Greek hospital: a prospective study. Eur J Clin Microbiol Infect Dis. 2017;36:2:227-232. https://doi.org/10.1007/s10096-016-2787-5
Josefson SA. Cicatrical deformities of the cervix. Zabaikal’skii meditsinskii zhurnal. 2021;2:5-12. (In Russ.).
Mitra A, MacIntyre DA, Marchesi JR, Lee YS, Bennett PhR, Kyrgiou M. The vaginal microbiota, human papillomavirus infection and cervical intraepithelial neoplasia: what do we know and where are we going next? Microbiome. 2016;4:1:58. https://doi.org/10.1186/s40168-016-0203-0
Churilov AV, Noskova OV, Petrenko SA, Popandupolo AD, Dzhelomanova SA. Features of the course of pregnancy and childbirth in women with cicatricial deformity of the cervix. Vestnik neotlozhnoi i vosstanovitel’noi khirurgii. 2017;2:1:85-88. (In Russ.).
Kongareva IG. The peculiarities of colposcopic pattern in cervix scar deformation in the process of pre-cancer and cervix cancer development. Vestnik SuRGU. Meditsina. 2009;2:3:42-44. (In Russ.).
Zizolfi B, Forester V, Cammarota A, Monza A, Gala, DI Spezia Ardo A. Hysteroscopic access to cervical canal stenosis of the uterus. Minerva Obstetrician-Gynecologist. 2021;73:2:185-192. https://doi.org/10.23736/S2724-606X.20.04729-2
Clinical guide «Inflammatory diseases of the cervix, vagina and vulva». 2021;42. (In Russ.). https://roag-portal.ru/projects_gynecology
Clinical guide «Cervical intraepithelial neoplasia, erosion and ectropion of the cervix». 2020;59. (In Russ.). https://roag-portal.ru/recommendations_gynecology
Clinical guide «Perineal ruptures during delivery and other obstetric injuries (obstetric traumatism)». 2021;48. (In Russ.). https://roag-portal.ru/projects_obstetrics
Li X, Li J, Wu X. Incidence, risk factors and treatment of cervical stenosis after radical trachelectomy: A systematic review. Eur J Cancer. 2015;51:13:1751-1759. https://doi.org/10.1016/j.ejca.2015.05.012
Li X, Li J, Ju X, Chen X, Wu X. Abdominal scar characteristics as a predictor of cervical stenosis after abdominal radical trachelectomy. Oncotarget. 2016;25:(7)37755-37761. https://doi.org/10.18632/oncotarget.9318
Han JY, Wong WL, Chan JKY. Labor Complicated by cervical stenosis following a laser cone biopsy. J Med Cases. 2021;12:1:13-15. https://doi.org/10.14740/jmc3605
Kyrgiou M, Athanasiou A, Kalliala IEJ, Paraskevaidi M, Mitra A, Martin-Hirsch PP, Arbyn M, Bennett P, Paraskevaidis E. Obstetric outcomes after conservative treatment for cervical intraepithelial lesions and early invasive disease. Cochrane Database Syst Rev. 2017;11:11:CD012847. https://doi.org/10.1002/14651858.CD012847
Satturwar S, Zhao C, Austin RM. Cervical stenosis: previously unrecognized cause of false-negative human papillomavirus tests in women developing cervical cancer. J Low Genit Tract Dis. 2020;24:4:372-374. https://doi.org/10.1097/LGT.0000000000000568
Castle PE, Kinney WK, Cheung LC, Gage JC, Fetterman B, Poitras NE, Lorey TS, Wentzensen N, Befano B, Schussler J, Katki HA, Schiffman M. Why does cervical cancer occur in a state-of-the-art screening program? Gynecol Oncol. 2017;146:3:546-553. https://doi.org/10.1016/j.ygyno.2017.06.003
Schiffman M, Kinney WK, Cheung LC, Gage JC, Fetterman B, Poitras NE, Lorey TS, Wentzensen N, Befano B, Schussler J, Katki HA, Castle PE. Relative performance of HPV and cytology components of cotesting in cervical screening. J Natl Cancer Inst. 2018;110:5:501-508. https://doi.org/10.1093/jnci/djx225
Austin RM, Onisko A, Zhao C. Enhanced detection of cervical cancer and precancer through use of imaged liquid-based cytology in routine cytology and HPV cotesting. Am J Clin Pathol. 2018;150:5:385-392. https://doi.org/10.1093/ajcp/aqy114
Cook DA, Smith LW, Law J, Mei W, van Niekerk DJ, Ceballos K, Gondara L, Franco EL, Coldman AJ, Ogilvie GS, Jang D, Chernesky M, Krajden M. Aptima HPV Assay versus Hybrid Capture® 2 HPV test for primary cervical cancer screening in the HPV FOCAL trial. J Clin Virol. 2017;87:23-29. https://doi.org/10.1016/j.jcv.2016.12.004
Bairamova GR, Baranov II, Arslanyan KN, Amirkhanyan AS, Chernova VF. Diseases of the lower genitalia associated with the papilloma viral infection: radical treatment or immunotherapy? Akusherstvo i ginekologiya: Novosti. Mneniya. Obucheniya. 2017;18:4:13-19. (In Russ.). https://doi.org/10.24411/2303-9698-2017-00001
Ondieki DK, Wanyoike-Gichuhi J. Obstetric complications of cervical stenosis: case report. East African Med J. 2015;92:11:568-570.
Salari BW, Bhagavath B, Galloway ML, Findley AD, Yaklic JL, Lindheim SR. Hysteroscopic morcellator to overcome cervical stenosis. Fertil Steril. 2016;106:6:e12-e13. https://doi.org/10.1016/j.fertnstert.2016.07.1091
Clinical guidelines «Isthmic-cervical insufficiency». 2021;44. (In Russ.). https://roag-portal.ru/recommendations_obstetrics
Kalakina NN, Gasanova SM, Talanova IE. Features of the course of pregnancy and its outcomes in isthmic-cervical insufficiency. Biomedical, clinical and social issues of human health and pathology: Proceedings of the IV All-Russian scientific conference of students and young scientists with international participation XIV regional festival «Young scientists — the development of the Ivanovo region». Ivanovo. Ivanovo State Medical Academy. 2018;216-218. (In Russ.).
Fotina EV, Zakirova RR, Alekseenkova MV, Panina OB. Connective tissue dysplasia in the genesis of isthmic-cervical insufficiency. Akusherstvo, ginekologiya i reproduktsiya. 2021;15:1:41-50. (In Russ.). https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.131
Kononenko IS, Zhukova NP. The role of undifferentiated connective tissue dysplasia in the formation of isthmic-cervical insufficiency. Achievements of fundamental, clinical medicine and pharmacy: materials of the 73rd scientific session of VSMU. Vitebsk. Vitebsk State Medical University. 2018;371-373. (In Russ.).
Oboskalova TA, Shchepetova MS, Martirosyan SV, Salimova IV, Grebneva OS. Clinical and anamnestic predictors of the development of isthmic-cervical insufficiency: a retrospective cohort study. Ural’skii meditsinskii zhurnal. 2020;189:6:20-25. (In Russ.). https://doi.org/10.25694/URMJ.2020.06.13
Fassakhova AF, Mal’gina GB, Tret’yakova TB. Risk factors for isthmic-cervical insufficiency during pregnancy resulting from assisted reproductive technologies. Lechenie i profilaktika. 2019;9:2:27-34. (In Russ.).
Rybachek AV. Risk factors for isthmic-cervical insufficiency. Youth science and modernity: Proceedings of the 85th International scientific conference of students and young scientists dedicated to the 85th anniversary of KSMU. Kursk. Kursk State Medical University. 2020;66-67. (In Russ.).
Zhigunova AM, Logvinova YuS, Andreeva MV. Risk factors for the formation of isthmic-cervical insufficiency and modern approaches to its correction. Al’manakh. 2020;1:180-184. (In Russ.).
Benyuk V.A., Korniets N.G., Oleshko V.F. Modern aspects of etiology and pathogenesis of isthmic-cervical insufficiency. Zdorov’e zhenshchiny. 2018;135:9:10-12. (In Russ.).
Kveselava SG, Khasieva II. Risk factors for isthmic-cervical insufficiency and evaluation of the effectiveness of its correction. Actual problems of experimental and clinical medicine: materials of the 76th international scientific-practical conference of young scientists and students. Volgograd. Volgograd state medical university. 2018;18-19. (In Russ.).
Zhabchenko IA, Zan’ko SN. Isthmic-cervical insufficiency: classification, etiopathogenesis, diagnosis, methods of prevention and correction. Okhrana materinstva i detstva. 2020;35:1:64-77. (In Russ.).
Andreeva MV, Kveselava SG, Khasieva II. Isthmic-cervical insufficiency: risk factors, methods of correction and outcomes of pregnancy. Al’manakh. 2018;1:194-198. (In Russ.).
Noskova OV, Churilova AV, Sviridova VV, Litvinova EV. Features of the course of pregnancy, childbirth and perinatal outcomes in pregnant women with isthmic-cervical insufficiency. Vestnik gigieny i epidemiologii. 2019;23:3:247-250. (In Russ.).
Kaplan YuD, Zakharenkova TN. Prediction of spontaneous premature birth in women with isthmic-cervical insufficiency corrected by a pessary. Problemy zdorov’ya i ekologii. 2019;62:4:43-48. (In Russ.).
Zakharenkova TN, Kaplan YuD. Isthmic-cervical insufficiency as a risk factor for intrauterine infection. Problemy zdorov’ya i ekologii. 2019;62:4:27-32. (In Russ.).
Dolgushina VF, Alikhanova ES, Grafova ED. Isthmic-cervical insufficiency and genital infection. Mediko-farmatsevticheskii zhurnal Pul’s. 2021;23:8:77-88. (In Russ.). https://doi.org/10.26787/nydha-2686-6838-2021-23-8-77-87
Kuznetsova OV, Zarubeeva EV. Modern view on the problem of isthmic-cervical insufficiency. RMZh. Mat’ i ditya. 2019;2:4:286-291. (In Russ.).
Sushkova OS. Criteria for ultrasound elastographic evaluation of the cervix in isthmic-cervical insufficiency. Meditsinskie novosti. 2018;284:5:18-21. (In Russ.).