An analysis of the outcomes of cervical cone biopsies performed in a low resource setting

Following skills transfer to this low resource setting, we carried out a descriptive analysis of the outcomes of all cone biopsies performed for women with cervical intra-epithelial neoplasia 3 (CIN 3). We also compared two methods of cone biopsy. All the women had follow-up smear tests at 6 and 18...

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Bibliographic Details
Published inJournal of obstetrics and gynaecology Vol. 35; no. 6; p. 604
Main Authors Okonkwo, C A, Selo-Ojeme, D O
Format Journal Article
LanguageEnglish
Published England 01.01.2015
Subjects
Adult
Cervical Intraepithelial Neoplasia - pathology
Cervical Intraepithelial Neoplasia - surgery
Cervix Uteri - pathology
Cervix Uteri - surgery
Clinical Competence
Conization - methods
Electrocoagulation
Female
Humans
Hysterectomy
Treatment Outcome
Vaginal Smears
colposcopy
CIN 3
skills transfer
Cone biopsy
low resource setting
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Summary:Following skills transfer to this low resource setting, we carried out a descriptive analysis of the outcomes of all cone biopsies performed for women with cervical intra-epithelial neoplasia 3 (CIN 3). We also compared two methods of cone biopsy. All the women had follow-up smear tests at 6 and 18 months. There were no cases of CIN 3 at follow-up. 80% had normal smears at 18 months and 20% had CIN 1. Compared with knife cone biopsy, women who had an electric knife (hand-held diathermy blade) cone biopsy had a significantly smaller volume of mean blood loss (55.5mls ± 15.9 vs 153.3ml ± 40, p < 0.001). With appropriate skills transfer, women with CIN 3 in a low resource setting can be effectively treated with conisation procedures. The diathermy knife is preferred to cold knife because of its associated low blood loss.
ISSN:1364-6893
DOI:10.3109/01443615.2014.990426