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At least 631 records · Page 35Linked to original sources
PubMed1994

[Cervical conization in dysplasia and carcinoma in situ. Role of concomitant uterine curettage].

OBJECTIVE: Reevaluation of the usefulness of routine uterine curettage with every cervical cone biopsy. MATERIAL: Retrospective analysis of 250 cervical cone biopsies over an 18 year period. RESULTS: 240 analysable cases were included. 90 patients had undergone cone biopsy only and 150 cone biopsy accompanied by uterine curettage. Curettage material was histologically normal 115 times (76.6%), negative or invalid 26 times (17.3%) and pathological 10 times (6.6%). Pathology consisted of 7 cases of hyperplasia and 3 of endometritis. CONCLUSION: Routine uterine curettage whenever cone biopsy is performed is of no value other than in certain special circumstances concerning clinical status and ultrasound findings.

Adult↗
PubMed1994

[Value of cold-knife conization without hemostatic sutures].

Retractile scarring often occurs after conisation of the cervix uteri, concealing the new squamocolumnar junction. It has been suggested that healing quality is improved if haemostatic sutures are not used. We report here on 118 cold-knife conisations carried out without haemostatic sutures. On histological examination there were 3% microinvasive carcinomas, 87% high-grade and 10% low-grade dysplasias. The endocervical margin was positive or doubtful in 6% of cases (n = 7). Six of these patients underwent secondary procedures which produced specimens free of transformation. A new colposcopic examination was performed six months after the cone biopsy: the squamocolumnar junction was visible in 90% confirming the usefulness of the technique.

Biopsy↗
PubMed1993

[A surgical method for conization of the cervix uteri].

Uterine neck conisation and the restoration methods applied after it are well-known. On the basis of 48 women admitted to the clinic for cervix uteri conisation on different indications the authors suggest a new method for the spontaneous epithelialization of the defect thus obtained. The operated patients have been under medical supervision and examined in the first and sixth month after the intervention. The results obtained show a complete epithelialization of the excised surface and no change in the anatomical characteristics of the uterine neck.

Cervix Uteri↗
PubMed1994

A study on the usefulness of local anaesthesia for the laser vaporization of conizations in the uterine cervix.

The purpose of our study is to evaluate the need to use anaesthesia during laser ablation treatment of cervical intraepithelial neoplasia (CIN) in populations of Asian women. Forty patients who were to undergo the ablation of CIN grade 1 or 2 were randomly divided into two groups. One group of patients was treated without any anaesthesia and the other group was treated using a paracervical block with lidocaine. The patients' experience of pain during the procedure was measured. These evaluations included an objective assessment made by the surgeons during the procedure using an objective pain scoring system, and a subjective estimation made by the patients themselves after the procedure using a visual analogue scale. Patients' feelings concerning the acceptability of either procedure were also elicited. Our results show that the case distribution of objective pain scores between the two groups of patients is not statistically different (p > 0.05). The mean visual analogue score of the patients who were not given anaesthesia (24.1%, SD 9.4) does not differ statistically from that of the patients who were administered a paracervical block (25.0%, SD 10.0, p > 0.05). Further, the acceptability rates of both groups are high (85% with paracervical block, 90% without anaesthesia), and the overall rates of the two groups are not statistically different (p > 0.05). These results imply that there may be differences in pain perception between Eastern and Western women. We conclude that in populations of Asian women, it is unnecessary to use anaesthesia during cervical laser ablation.

Adult↗
PubMed1993

[Value of biological glue in CO2 laser conization. Experience with 32 cases].

The effects of the use of biological glue in the crater that is left after CO2 laser conisation was studied in a series of 32 cases and compared with a previous study carried out using the same technical methods by the same surgeons. The use of biological glue has as its aim to improve capillary haemostasis after conisation; and so increasing the security of leaving these conisation craters in order to improve the chance of normal morphology later. Biological glue has furthermore never given a febrile reaction, nor has it ever increased the likelihood of scar stenosis. Biological glue however is just an extra method of helping normal morphological healing with a good transformation zone and retaining fertility. When conisation is carried most extensively (in particular as far as depth is concerned) and with the use of powerful laser beams, the application of biological glue seem to guarantee most forms of postoperative haemostasis and good healing.

Adult↗