Outpatient loop electrosurgical excision procedure for cervical intraepithelial neoplasia. Can it replace cold knife conization?

To determine if loop electrosurgical excision procedure (LEEP) can replace cold knife conization. In a population at high risk for invasive carcinoma, 163 cases of LEEP conization were performed with the same indications as cold knife for cervical conization. Seventy-five percent of LEEP surgical sp...

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Bibliographic Details
Published inJournal of reproductive medicine Vol. 41; no. 10; p. 729
Main Authors Eduardo, A M, Dinh, T V, Hannigan, E V, Yandell, R B, Schnadig, V J
Format Journal Article
LanguageEnglish
Published United States 01.10.1996
Subjects
Adult
Ambulatory Surgical Procedures - economics
Ambulatory Surgical Procedures - methods
Ambulatory Surgical Procedures - standards
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Cervix Uteri - pathology
Conization - economics
Conization - methods
Conization - standards
Electrosurgery - economics
Electrosurgery - methods
Electrosurgery - standards
Female
Humans
Middle Aged
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
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Summary:To determine if loop electrosurgical excision procedure (LEEP) can replace cold knife conization. In a population at high risk for invasive carcinoma, 163 cases of LEEP conization were performed with the same indications as cold knife for cervical conization. Seventy-five percent of LEEP surgical specimens were positive for dysplasia. Six cases showed invasive squamous cell carcinoma. No complications were seen. LEEP conization is a quick, simple and economical procedure that can safely replace most cases of cold knife conization.
ISSN:0024-7758