RESUMO
At the Royal Women's Hospital Melbourne, treatment of cervical intraepithelial neoplasia has consisted mainly of electrocoagulation diathermy. A random group of 420 consecutive patients attending the follow-up clinic has been studied to assess subsequent cervical function. Long-term follow-up has revealed minimal adverse effects on fertility, parturition, and menstrual function.
Assuntos
Eletrocoagulação , Displasia do Colo do Útero/cirurgia , Neoplasias do Colo do Útero/cirurgia , Colo do Útero/fisiopatologia , Feminino , Fertilidade , Seguimentos , Humanos , Trabalho de Parto , Menstruação , GravidezRESUMO
Forty-four women were examined to assess the incidence of rectocele and enterocele in asymptomatic patients, to establish a normal range for the dimensions of the rectovaginal pouch and septum in nulliparas, and to ascertain the effect of parturition on these measurements. The relationship between the depth of the rectovaginal pouch and the presence of enterocele was also studied. Seventeen patients (38%) had rectocele and/or enterocele. In nulliparas the mean depth of the rectovaginal pouch was 5.3 cm and the mean length of the rectovaginal septum was 2.1 cm. Neither parturition nor prolapse altered the depth of the rectovaginal pouch, but parity was associated with an increase in the length of the rectovaginal septum. There was no relationship between the depth of the rectovaginal pouch and the presence of enterocele.
Assuntos
Reto/anatomia & histologia , Vagina/anatomia & histologia , Adulto , Feminino , Hérnia/patologia , Humanos , Trabalho de Parto , GravidezRESUMO
This report presents further experience in the use of electrocoagulation diathermy for the treatment of patients with cervical intraepithelial disease. By means of the colposcope it was possible to select a group of nonpregnant patients, in whom a proven noninvasive lesion was located entirely within range of the colposcope. This group, comprising 450 patients, has been treated by means of electrocoagulation diathermy, and with followup, only 28 patients have shown evidence of a residual lesion; in 8 of these the residual lesion has been eradicated subsequently by repeat diathermy treatment. Significant complications following electrocoagulation diathermy occurred in 13 patients (3%). The overall apparent cure rate for electrocoagulation diathermy was 95.4%.
