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Outcome of loop electrosurgical excision for HIV‐positive women in a low‐resource outpatient setting
Author(s) -
Kietpeerakool Chumnan,
Suprasert Prapaporn,
Srisomboon Jatupol
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2008.11.006
Subject(s) - medicine , loop electrosurgical excision procedure , human immunodeficiency virus (hiv) , obstetrics , loop (graph theory) , resource (disambiguation) , outcome (game theory) , gynecology , emergency medicine , surgery , family medicine , colposcopy , computer network , mathematics , cervical cancer , mathematical economics , cancer , combinatorics , computer science
Objective To assess outcome in HIV‐positive women undergoing the loop electrosurgical excision procedure (LEEP). Method A prospective study was conducted with 789 outpatients undergoing LEEP at Chiang Mai University Hospital between October 2004 and June 2008. Results The 70 HIV‐positive women (8.9%) were younger ( P < 0.001) and had a lower parity ( P < 0.001) than the remaining women. The proportion of women undergoing LEEP for persistent low‐grade lesions was higher (8.6% vs 1.9%) and the prevalence of margin involvement was higher (60.0% vs 49.4%) among the HIV‐positive women. After adjusting for age, parity, menopausal status, size of excised lesion, and histopathologic result, HIV infection was not significantly associated with LEEP complications (adjusted odds ratio, 0.41; 95% confidence interval, 0.15–1.15). Conclusion The higher risk of resection margin involvement in HIV‐infected women was not associated with LEEP complications.