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At least 487 records · Page 27Linked to original sources
PubMed1988

[Peroperative colposcopic examination of conization tissue. Determination of the complete or incomplete nature of the cone].

The authors describe an original technique which makes it possible for them to determine during the operation whether conisation has been complete or incomplete. The tissue removed is examined during the operation colposcopically after it has been stained with an aqueous solution of toluidine colour blue. Pathological epithelium can be recognized easily and it is possible to measure the distance between the edge of this epithelium and the tissue that has been removed. If it is inadequate more can be cut out immediately. The distance should be at least 5 mm from the edge of the pathological epithelium.

Carcinoma in Situ↗
PubMed1987

[Conization of the uterine cervix. A study of 900 cases].

In the years 1968 till 1982, 900 conisations of uterine cervix were performed, 90% of which were diagnostic interventions. During the follow-up period, the mean age of the patients with carcinoma in situ decreased 4 years, the mean age from patients with microcarcinoma 3.2 years. In 64% the conisation was carried out due to a positive or suspekt smear. Conisations, performed during pregnancy, were not associated with any additional complications for mother or child. Taking a big conus resulted more often in a total extirpation of the neoplastic changes, without increasing the complication rate. The average hospital stay was 8.7 days. It was only prolonged in patients with secondary hemorrhage. 33% of all neoplastic changes were extirpated totally. In 85% of the women who had follow-up only after incomplete extirpation of the neoplasia by conisation, there was no recurrence. The rest did show the neoplasia again, often in a more serious way. The overall complication-rate was 7.4%.

Adolescent↗
PubMed1985

[Treatment of dysplasias and cancers of the cervix. In defense of and illustration of the conization procedure using a cold scalpel under local anesthesia with hospitalization for a day].

A series of 143 cone biopsies performed for carcinoma in situ between October 1st, 1981 and July 31st, 1984 is described. Complications were rare: reoperation in 1.5 per cent of cases. "Oncological" results were good. There were few failures: 3.5 per cent of cases. Examination of the operative specimen revealed occult invasive carcinomas: 12.3 per cent of cases. It was also used to identify patients with a "high risk of recurrence", those in whom the resection had not passed through "healthy" tissue: 28.0 per cent of cases. Performed under local anaesthetic using a cold scalpel and with day hospitalisation, the operation is easy and inexpensive (1 309.71 francs).

Adult↗