PMID: 9003949Dec 1, 1996Paper

Laser miniconization procedure

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Z Békássy

Abstract

To describe the outpatient procedure of minimal conization with free-hand guided high power density carbon dioxide laser for simultaneous diagnosis and treatment of CIN producing a one-piece tissue specimen for histological examination. 3100 non-pregnant patients with mild, moderate or severe dysplasia in pap smear, having colposcopically proved ectocervical lesions but without evidence of invasive carcinoma, or 85 pregnant patients with severe dysplasia in pap smear having extensive colposcopic signs of at least carcinoma in situ were admitted for this treatment. This outpatient procedure including cervical curettage is performed under local anesthesia to excise a one-piece 5 mm (during pregnancy 7 mm) deep minicone. The degree of patient discomfort, bleeding complications, postoperative pain, infection or vaginal discharge were all minimal. The procedure was fast, causing minimal thermal damage of resection lines of the minicone specimen. Histopathological examination of the non-pregnant minicones revealed microinvasive or invasive carcinoma in 1.2%, the primary cure rate was 96.1%. During pregnancy, 13.3% malignancy was found. No unexpected sudden onset of invasive carcinoma was recorded during the 15-year follow-up and the ...Continue Reading

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Jan 1, 1996·Archives of Gynecology and Obstetrics·Z Békássy, C S Iosif

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Citations

Aug 14, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Enrique F CoppolilloBeatriz E Perazzi
Feb 26, 2008·American Journal of Obstetrics and Gynecology·Pontus BjerreAgneta Andersson-Ellström
Aug 1, 1997·Journal of Women's Health·M F Greene
Jan 1, 1997·Journal of Clinical Laser Medicine & Surgery

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