๐”– Bobbio Scriptorium
โœฆ   LIBER   โœฆ

Carbon dioxide laser surgery for cervical intraepithelial neoplasia

โœ Scribed by Dr. V. C. Wright


Publisher
John Wiley and Sons
Year
1984
Tongue
English
Weight
449 KB
Volume
4
Category
Article
ISSN
0196-8092

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โœฆ Synopsis


During 1977During -1983, 787 , 787

consecutive referred cases of CJN were treated by vaporization of a dome-shaped defect, by excision of a cylindrical specimen, or a combination of procedures where 48 % were CIN 111. Vaporization was used for 72% of CIN I, 76% of CIN 11, and 64% of CIN 111 cases. Less than 15% of vaporization and all excision cases were done in hospital under anesthesia; 11 % had delayed bleeding requiring attention (admission was required in 2%); 100% of CIN I, 96% of CIN 11, and 96% of CIN III cases were cured. Persistent disease was diagnosed at the first (96%) or second (4%) visit. Subsequent treatment included laser and less than 1 % hysterectomy. Overall cure for laser surgery was 99.5 % . Sixty-eight patients subsequently became pregnant; outcomes were normally distributed. Treatment success is related to adequate volume of tissue removed.


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