[Obstetric outcomes following LOOP-excision]

J Gynecol Obstet Biol Reprod (Paris). 2013 Oct;42(6):534-40. doi: 10.1016/j.jgyn.2013.05.004. Epub 2013 Jul 1.
[Article in French]

Abstract

The obstetrical consequences of conisation for cervical intraepithelial neoplasia (CIN) should be considered since patients affected by these lesions are actually younger and most often desire further pregnancies. The loop electrosurgical excision procedure (LEEP), which is currently mostly used, achieves cure rate varying according to the authors between 80 and 95%. However, the most recent data show an increase of obstetrical morbidity, especially prematurity, after LEEP excision. As the frequency and severity of prematurity is correlated to the size and depth of the LEEP, we should minimize as much as possible the resection for these young patients.

Keywords: Accouchement prématuré; CIN; Cervical intraepithelial neoplasia; Conisation à l’anse diathermique; Loop electrosurgical excision procedure; Preterm delivery.

Publication types

  • English Abstract

MeSH terms

  • Conization / adverse effects*
  • Electrosurgery
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications, Neoplastic / pathology
  • Pregnancy Complications, Neoplastic / surgery*
  • Pregnancy Outcome*
  • Premature Birth
  • Risk Factors
  • Uterine Cervical Dysplasia / pathology
  • Uterine Cervical Dysplasia / surgery*
  • Uterine Cervical Incompetence / etiology
  • Uterine Cervical Incompetence / physiopathology
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / surgery