Complications of loop electrosurgical excision procedure for cervical neoplasia: a prospective study.
Article
in English
| IMSEAR
| ID: sea-38348
ABSTRACT
OBJECTIVES:
To evaluate the complications following loop electrosurgical excision procedure (LEEP) for diagnosis and treatment of cervical neoplasia. MATERIAL ANDMETHOD:
Descriptive cross sectional study in patients with abnormal cervical cytology who underwent LEEP at Chiang Mai University Hospital between November 2004 and July 2005 were prospectively evaluated for complications.RESULTS:
During the study periods, 206 patients underwent cervical loop excision for a total of 226 procedures. The mean age of the patients was 41 years (range, 26-72 years). Sixty (29.1%) women were menopausal. The most common abnormal cervical cytology was HSIL (56.3%) followed by LSIL (12.1%). Twenty-five (11.1%) patients received re-excision for positive margin after the first procedure. Intraoperative hemorrhage occurred in 7.9% of the procedures. Early and late postoperative hemorrhage occurred in 0.4% and 2.6% of the procedures, respectively. Eight (3.5%) had postoperative infections and were cured with oral antibiotics. By logistic regression analysis, there was no significant correlation between age, menopausal status, HIV status, re-excision procedure, final histopathology, cone dimension and the complications of LEEP.CONCLUSION:
Loop electrosurgical excision procedure is safe for evaluation and treatment of cervical neoplasia with an acceptable and manageable surgical morbidity.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Aged
/
Female
/
Humans
/
Abdominal Pain
/
Uterine Cervical Dysplasia
/
Uterine Cervical Neoplasms
/
Cross-Sectional Studies
/
Predictive Value of Tests
/
Prospective Studies
/
Neoplasms, Squamous Cell
Type of study:
Observational study
/
Prevalence study
/
Risk factors
Language:
English
Year:
2006
Type:
Article
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