A ten-year experience treating cervical intraepithelial neoplasia with the CO2 laser

Baggish, Michael S.; Dorsey, James H.; Adelson, Mark

doi:10.1016/0002-9378(89)90233-0

Cited by 81 publications

(21 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The increasing frequency with which CIN is seen among the young calls for a more conservative approach. Colposcopy with directed punch biopsies has contributed to the gradual replacement of conization by ablative therapies (Creasman et al 1972, Chanen t984/1985, Bryson et al 1985, Baggish et al 1989. The principal disadvantage of the local ablative treatment is that the histological diagnosis must be made solely on punch biopsies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Conization for CIN associated with human papillomavirus infection

Yliskoski

Saarikoski

Syrjänen

1991

Arch Gynecol Obstet

View full text Add to dashboard Cite

We report results of follow-up by PAP smears and colposcopy in 116 women treated since 1981 by conization for cervical intraepithelial neoplasia with human papillomavirus infection (HPV-CIN). The mean follow-up time was 31.9 (SD 19) months. Preoperative diagnosis was HPV-CIN II (with extension into the endocervix) in 11 cases and HPV-CIN III in 103 cases; two diagnostic conizations were performed. The histological examination of the cone biopsies showed complete excision of CIN in 109 cases (94%). Three patients underwent hysterectomy after conization; one had microinvasion in the cone biopsy, one had suspicion of microinvasion and one had non-radical conization. Three patients (2.6%) were lost to follow-up. After excluding these six patients the primary cure rate of HPV lesions (normal cytological and colposcopical finding after conization) was 82.7%. Four patients (4.6%) had residual CIN after conization. During the follow-up 15 patients had recurrence of HPV infection, only one had HPV-CIN I. HPV 16 was the most common HPV type (56/116, 48.2%) in the conization group and also in the recurrent cases (9/15, 60%). The results support the role of HPV 16 in cervical carcinogenesis.

show abstract

Section: Discussionmentioning

confidence: 99%

“…At this time there are two major choices for ablative outpatient treatment of CIN: cryosurgery and CO2 laser vaporization (Bryson et al 1985, Baggish et al 1989). In the literature review the failure rates of cryosurgery and COz laser vaporization for CIN III were 16.7% and 19%, respectively (Stein et al 1985).…”

Section: Discussionmentioning

confidence: 99%

Conization for CIN associated with human papillomavirus infection

Yliskoski

Saarikoski

Syrjänen

1991

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

“…Tabor and Berget16 observed cervical stenosis causing menstrual pain and treated with cervical dilatation in only 0.4%, and a similar observation was made by Larsson et al 19 Baggish et al, 11,17 in two studies, reported a risk of cervical stenosis of l%-2%. Kristensen et al18 observed cervical stenosis in 25% and dysmenorrhea in 14.3%, and cervical dilatation was performed in 7.2%.…”

Section: Discussionmentioning

confidence: 51%

“…Partington et al 15 reported troublesome intraoperative bleeding in 8.3%, and the procedure was stopped because of bleeding in 4.2% when using the same method. When performing combination laser conization, postoperative bleeding is usually observed in 3%-6%.6'15-17 Baggish et al 17 reported the largest series of patients and reported postoperative bleeding in 3.3%. Kristensen et al,18 comparing three different methods of conization, observed early postoperative bleeding in 6.6% and late postoperative bleeding in 11.7% after laser conization, which was comparable to other conization methods.…”

Section: Discussionmentioning

confidence: 99%

Combination Laser Conization: Early and Late Complications

Andersen¹,

Pedersen²

1997

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

Early and late complications of combination laser conization were evaluated in 536 patients. Results of a questionnaire sent to 350 patients specifically evaluated menstrual bleeding and menstrual pain, fertility problems, and various aspects of sex life. Combination laser conization was a safe procedure, with no significant impact on fertility, sex life, or menstrual bleeding. Postconization bleeding was a significant event, but it seems possible to reduce this risk with increased surgical experience and optimum functioning of the laser equipment. Combination laser conization is a technique suitable to 1-day surgery or outpatient treatment. (J GYNECOL SURG 13:51, 1997) Address reprint requests to:

show abstract

“…They generally are similar to cited in the literature. [1][2][3][4] But small number of patients does not let us far going conclusions, because statistical analysis couldn't prove significant differences. They should be perceived cautiously, as a tendency.…”

Section: Resultsmentioning

confidence: 99%

Comparison of cervical dysplasia treatment with leep-loop method and CO 2 laser vaporization

Woźniak¹,

Rzymski²,

Opala³

et al. 2003

SPIE Proceedings

View full text Add to dashboard Cite

There are several methods of treating cervical dysplasia, including surgical and electric conisation, laservaporisation. The aim of our study was to evaluate leep4oop method and laservaporisation with C02 laser. Material consisted of 49 women, 28 underwent leep-loop conisation and 21 laservaporisation. The effectiveness of laser treatment was 90,4% and with leep-loop 96,4%, but the difference was not statistically significant. Mean time of wound healing and frequency of pain was shorter after laser treatment, but the differences were not statistically significant. Conclusions: Effect oftreatment with both methods is comparable.

show abstract

A ten-year experience treating cervical intraepithelial neoplasia with the CO2 laser

Cited by 81 publications

References 9 publications

Conization for CIN associated with human papillomavirus infection

Conization for CIN associated with human papillomavirus infection

Combination Laser Conization: Early and Late Complications

Comparison of cervical dysplasia treatment with leep-loop method and CO 2 laser vaporization

Contact Info

Product

Resources

About