Pregnancy Outcomes Following Loop Electrosurgical Excision Procedure Leep Of The Cervix
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Pregnancy Outcomes Following Loop Electrosurgical Excision Procedure Leep Of The Cervix
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Author : Karyn E. White
language : en
Publisher:
Release Date : 2005
Pregnancy Outcomes Following Loop Electrosurgical Excision Procedure Leep Of The Cervix written by Karyn E. White and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with categories.
Investigating The Treatment Of Cervical Intraepithelial Neoplasia With The Loop Electrosurgical Excision Procedure And Its Association With Preterm Pregnancy
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Author : Ariel R. MacMahon
language : en
Publisher:
Release Date : 2010
Investigating The Treatment Of Cervical Intraepithelial Neoplasia With The Loop Electrosurgical Excision Procedure And Its Association With Preterm Pregnancy written by Ariel R. MacMahon and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with categories.
Background: Cervical intraepithelial neoplasia (CIN) can be a precursor to the development of invasive cervical cancer. There are two ways to approach the treatment of CIN, observation or immediate treatment. For women with CIN1, most often observation is the best choice. Women diagnosed with CIN2 or CIN3 typically undergo immediate treatment, due to the increased likelihood of progression. LEEP is currently the procedure of choice, and its association with preterm delivery has been a topic of debate. Many studies have been done analyzing the LEEP in an attempt to investigate the association, and while this is a promising tool in the treatment of cervical cancer, more research needs to be done to reach a definitive conclusion. Methods: A comprehensive search of the medical literature published within the last five years was conducted using MEDLINE, CINAHL, and EBM Multifile. Search terms used were: cervical intraepithelial neoplasia, loop electrosurgical excision procedure, and pregnancy complications. Web of Science was used in a secondary search to locate articles of interest from the references of the included articles. Each article was filtered based on strict inclusion and exclusion criteria, and then critically appraised. The validity of each article was assessed using the criteria located in Table I. Results: A total of seven articles were critically appraised. These articles are addressed in Table II. After the appraisal, one article was eliminated due to receiving a validity score less than 3. In Acharya et al the rate of preterm delivery was observed at 9/79 (11.4%) in the study group and 17/158 (10.8%) in the control group. In Samson et al the rates of preterm delivery were 44/558 (7.9%) and 14/558 (2.5%) in the study and control groups respectively. In Nohr et al (2007) the rate of preterm delivery following LEEP was identified at 6.6%, with an adjusted odds ratio of 1.8 and 95% CI of 1.1-2.9. The preterm delivery rate among the comparison group was 3.5% with an OR of 1.0. In Michelin et al the rate of preterm delivery was 1/18 (5.5%). The comparison group was those who were submitted to cold knife conization, in which the preterm delivery rate was 4/17 (23.5%). In Nohr et al 2009 the preterm delivery rate was 530/8180 (6.5%) with an OR of 2.11 and 95% CI of 1.9-2.3. The rate of preterm delivery after no procedure was 17,106/510,841 (3.3%) with an OR of 1.0. In Jakobsson et al the rate of preterm delivery after LEEP was 75/624 (12%), with an OR of 2.61. Conclusion: Treatment of cervical intraepithelial neoplasia with the LEEP does appear to be associated with and increased risk of preterm delivery, ranging from two to three and a half times greater than that of the general population. Increase in cone height of removed tissue also reflects a greater risk for preterm delivery. More research needs to be done in order to clarify whether the presence of cervical neoplasia alone is a risk factor for adverse outcomes on future pregnancy.
Randomized Clinical Trial Comparing Two Methods Of Hemostasis After Loop Electrosurgical Excision Procedure With And Without Vaginal Pack
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Author : Ricardo Reis
language : en
Publisher:
Release Date : 2017
Randomized Clinical Trial Comparing Two Methods Of Hemostasis After Loop Electrosurgical Excision Procedure With And Without Vaginal Pack written by Ricardo Reis and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Objective: To compare two methods of hemostasis after loop electrosurgical excision procedure (LEEP), with and without vaginal pack. Methods: A randomized clinical trial was performed at Barretos Cancer Hospital (BCH) from October 2014 to June 2015. One hundred patients that underwent LEEP of the cervix were randomized to insert a vaginal pack (VP) (50 patients) or without vaginal pack (WVP) (50 patients) after the LEEP. The primary outcome measure was postoperative gynecologic intervention due to vaginal bleeding after procedure. The secondary outcomes measures were operative time and number of days with vaginal bleeding after LEEP. Only the participants were blinded to group assignment. Categorical variables were compared using a chi-square test or the Fisher exact test. For comparative analysis of the median values were used the Poisson distribution model. The level of significance was set at 5%.Results: There were no significant differences in age, pregnancy status (number of pregnancy and vaginal labor), and hormonal status (pre-menopausal and menopause) between the groups. Also, there was no significant difference in LEEP specimen lenght. The status of ectocervical and endocervical margins were the same between both groups (Table 1). There was no difference in postoperative gynecologic intervention due to vaginal bleeding after the procedure between patients that underwent LEEP with VP, 1 patient (2%) or WVP, 3 patients (6%), (p = 0.3074). Median of related days of vaginal bleeding after the procedure were 7.4 days (SD 8.75) in VP group and 7.34days (SD 8.52) in WVP group, with no statistical difference between both groups (p = 0.912, Table 2). Conclusions: Insert or not insert vaginal pack after LEEP do not affect the number of postoperative gynecologic intervention due to vaginal bleeding or the amount of postoperative bleeding days. So, due to our results, he use of vaginal pack could be omitted with no further complications.
Office Gynecology
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Author : David Chelmow
language : en
Publisher: Cambridge University Press
Release Date : 2019-01-31
Office Gynecology written by David Chelmow and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-01-31 with Medical categories.
Around 100 common clinical problems feature in quick-read cases, alongside evidence-based recommendations and current guidelines.
Colposcopy And Programme Management
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Author : David Luesley
language : en
Publisher:
Release Date : 2010
Colposcopy And Programme Management written by David Luesley and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Colposcopy categories.
Principles And Practice Of Colposcopy
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Author : B Shakuntala Baliga
language : en
Publisher: JP Medical Ltd
Release Date : 2018-07-31
Principles And Practice Of Colposcopy written by B Shakuntala Baliga and has been published by JP Medical Ltd this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-31 with Medical categories.
The new edition of this comprehensive manual has been fully revised to provide clinicians with the latest developments in the field of colposcopy. Beginning with the basic principles of colposcopy, the next chapters explain terminology, technique, and assessment and interpretation of normal and abnormal results. The following sections present an atlas of colpophotographs illustrating normal and abnormal findings. The final chapters discuss different colposcopy techniques and management methods for abnormal results, advances in biotechnology, instrumentation and software, equipment maintenance, and infection control measures. The third edition includes a new chapter on ablative and excisional treatment of cervical intraepithelial neoplasia, as well as a comprehensive appendices section including information on training, a colposcopy evaluation form, line diagrams, and more. Key points Fully revised, new edition presenting latest developments in colposcopy Features atlas of over 100 colpophotographs Includes comprehensive appendices section Previous edition (9789350250945) published in 2010
Colposcopy
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Author : Ralph J. Lellé
language : en
Publisher: Springer Nature
Release Date : 2023-03-11
Colposcopy written by Ralph J. Lellé and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-03-11 with Medical categories.
This comprehensive textbook and atlas provides detailed guidance on the performance and interpretation of colposcopy, with a particular focus on the diagnosis of precancerous cervical, vulvar, and vaginal lesions. The book not only describes the role of colposcopy in state of the art cervical cancer screening and triage but also covers the prevention, diagnosis, and management of cervical cancer in low-resource settings, where the vast majority of cases occur worldwide. The indications for colposcopy are clearly identified, and its use is described in a variety of specific circumstances, including during pregnancy, following surgical interventions and radiation treatment, and in the immunocompromised patient. The book will be of value for gynecologists and gynecologic oncologists, general practitioners, and family practice doctors; furthermore, physician assistants, nurses, and midwives will find it very useful for training and as a source of reference, regardless of whether they are working within an established screening program based on cytopathology and/or HPV testing or within a low-resource environment applying visual inspection as the primary screening strategy.
The Lancet
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Author :
language : en
Publisher:
Release Date : 2006
The Lancet written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Medicine categories.
State Of The Art Vaginal Surgery
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Author : Neerja Goel
language : en
Publisher: JP Medical Ltd
Release Date : 2013-01-30
State Of The Art Vaginal Surgery written by Neerja Goel and has been published by JP Medical Ltd this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-01-30 with Medical categories.
This new edition brings gynaecologic surgeons and postgraduate students fully up to date with the latest developments and techniques in vaginal surgery. Beginning with sections on surgical anatomy, preoperative care and anaesthesia, the following chapters discuss different surgical techniques. This comprehensive guide includes 880 full colour images and illustrations as well as two interactive DVD ROMs demonstrating many of the techniques discussed in the book. The previous edition of State-of-the-Art Vaginal Surgery published in 2007. Key points New edition bringing gynaecologic surgeons and postgraduate students up to date with latest techniques in vaginal surgery Includes two interactive DVD ROMs demonstrating procedures Features 880 full colour images and illustrations First edition published in 2007
Clinical Gynecology
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Author : Eric J. Bieber
language : en
Publisher: Cambridge University Press
Release Date : 2015-04-23
Clinical Gynecology written by Eric J. Bieber and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-23 with Medical categories.
Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.