Regular ArticleA Comparison between Loop Diathermy Conization and Cold-Knife Conization for Management of Cervical Dysplasia Associated with Unsatisfactory Colposcopy
References (0)
Cited by (67)
Minimal cold knife conization height for high-grade cervical squamous intraepithelial lesion treatment
2012, European Journal of Obstetrics and Gynecology and Reproductive BiologyCitation Excerpt :There is still controversy on whether any differences exist between cold-knife conization and LEEP regarding endocervical margin involvement. Some authors report that endocervical margins are less frequently positive and easier to interpret with cold-knife conization as compared to LEEP [19,23,24]. Rates of HSIL, LSIL, ASC-US, ASC-H, and AGUS were similar to those reported in the literature [25]
Cervical conization and the risk of preterm delivery
2011, American Journal of Obstetrics and GynecologyCitation Excerpt :Finally, one retrospective study assessed the risk of low birthweight in 65 patients with a history of CO2 laser conization and reported a 2.2 RR (95% CI, 1.04–4.5) for birthweight <2500 g, a 3.5 RR (95% CI, 1.02–12.0) for birthweight <2000 g, and a 10.0 RR (95% CI, 1.2–85.6) for weight <1500 g,44 which provides further, albeit different, supporting evidence to indicate poor obstetric outcomes in patients with a history of laser conization for cervical dysplasia. As mentioned earlier, the technical simplicity, decreased blood loss, and outpatient nature of the procedure have all contributed to LEEP becoming the treatment modality of choice for cervical dysplasia.15-19 Because of its widespread application, LEEP has the farthest reaching implications for public health impact and therefore should be considered most carefully.
Endovaginal magnetic resonance imaging of stage 1A/1B cervical cancer with A T2- and diffusion-weighted magnetic resonance technique: Effect of lesion size and previous cone biopsy on tumor detectability
2011, Gynecologic OncologyCitation Excerpt :In future a multicentre prospective study should establish whether such an observation holds for multiple observers in a larger group of patients. In investigating the effects of a cone biopsy/LLETZ prior to MR imaging we did not differentiate between the two methods despite a potential difference in the type of trauma associated with the two techniques [18,19]. As an initial investigation into the impact of significant tissue removal prior to an MR examination it was thought more appropriate to combine the two types of biopsy in the analysis.
Treatment of high-grade squamous intraepithelial lesions in an area of Thailand with a high incidence of cervical cancer
2010, International Journal of Gynecology and ObstetricsCitation Excerpt :Therefore, the high rate of multiple passes in the present study is not surprising. In the literature, the rate of unevaluable margins after LEEP varies widely from 2.3% to 27% [7,9–11]. Even though the rate of multiple-pass LEEP in the present study was considerably high, only approximately 6% of women had unevaluable margins.
Practical Therapeutic Options for Treatment of Cervical Intraepithelial Neoplasia
2008, Colposcopy: Principles and Practice, Second EditionPreoperative predictors of positive margins after loop electrosurgical excisional procedure-Cone
2006, Gynecologic Oncology