Open AccessOutpatient CO 2 laser excisional conization for cervical intraepithelial neoplasia under local anesthesia
Author(s) -
Helkjaer Poul E.,
Eriksen Poul Sindberg,
Thomsen Carl F.,
Skovdal Jan
Publication year - 1993
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349309068042
Subject(s) - medicine , cervical intraepithelial neoplasia , local anesthesia , surgery , outpatient clinic , colposcopy , cervical conization , outpatient procedure , prospective cohort study , intraepithelial neoplasia , cervical cancer , cancer , prostate
Aim and objective . To evaluate the feasibility of CO 2 laser excisional conization in patients with cervical intraepithelial neoplasia (CIN) in an outpatient setting under local anesthesia. Design . A prospective study of women with cervical intraepithelial neoplasia over one year recording early and late complications, cure rate, and patients' compliance. The procedure was performed with a Coherent CO 2 laser connected to the colposcope with a micromanipu‐lator. The equipment attaining 19,700 W/cm 2 , spot diameter 0.43 mm, focus distance 300 mm, and continuous beam. Results . The material included 81 women. Seventy‐eight women were treated as outpatients, while three women were admitted for 24 hours observation due to surgical and technical complications during the treatment. Sixty‐six percent of the women had bleeding less than 10 ml during the treatment. One woman was admitted 24 hours after surgery due to bleeding requiring suturing. Median operation‐time was 11 minutes (range 3–60). All specimens contained CIN. In 76% of the cases the pre‐ and postoperative diagnosis were identical. Twelve specimens had CIN in one or both margins. Abnormal cytology after conization was found in three cases (4.2%). High patient compliance was found as 92% of the treated women would choose the same kind of treatment if it had to be repeated. Conclusion . High success rate, few complications and high patient compliance make the procedure adequate as a routine procedure in treatment and diagnosis of CIN.