Laser surgery for cervical intraepithelial neoplasia: principles and results

American Journal of Obstetrics and Gynecology
V C WrightM A Riopelle

Abstract

Four hundred twenty-nine consecutive cases of cervical intraepithelial neoplasia were managed by one of three techniques of carbon dioxide laser surgery: dome-shaped vaporization of ectocervical lesions, cylinder-shaped excision of endocervical disease, or a combination of the two in the case of ectocervical disease that extended into the lower cervical canal. Ninety-two patients (21.5%) had grade 1, 137 (31.9%) had grade 2, and 200 (46.6%) had grade 3 cervical intraepithelial neoplasia. The success rates subsequent to one surgical intervention were 97.8% for grade 1, 94.9% for grade 2, and 94.5% for grade 3 of the disease. Success for the entire patient population was 95.3% after the first treatment. A second treatment was required in 20 cases: 18 laser procedures and two hysterectomies. The overall success of laser surgery (one or two procedures) approached 100%. Complications were negligible. These findings suggest that these techniques are very effective in eliminating cervical intraepithelial neoplasia of all degrees when a planned approach is followed.

References

Apr 1, 1979·Obstetrics and Gynecology·B U SevinH E Averette
Jun 1, 1981·British Journal of Obstetrics and Gynaecology·V C Wright, E M Davies
Jan 1, 1982·Lasers in Surgery and Medicine·V C Wright, M A Riopelle
Mar 1, 1959·Cancer·L A PRZYBORA, A PLUTOWA

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Citations

Feb 1, 1986·American Journal of Obstetrics and Gynecology·E A DeiganJ Karchmar
Nov 15, 1984·American Journal of Obstetrics and Gynecology·V C WrightM A Riopelle
Oct 1, 1985·American Journal of Obstetrics and Gynecology·V C Wright
Jul 15, 1985·American Journal of Obstetrics and Gynecology·P D Indman, B C Arndt
Jan 1, 1990·Gynecologic Oncology·R V HigginsR J Kryscio
Jan 1, 1995·Lasers in Surgery and Medicine·R Reid, G T Absten
Nov 1, 1986·European Journal of Obstetrics, Gynecology, and Reproductive Biology·P PuttemansE de Muylder
Jan 1, 1984·Lasers in Surgery and Medicine·V C Wright
Jan 1, 1985·Lasers in Surgery and Medicine·J H BellinaJ D Jackson
Jan 1, 1986·Lasers in Surgery and Medicine·M S Baggish
Jan 4, 1991·Journal of Gynecologic Surgery·A L Wagner
May 24, 2000·Journal of Clinical Pathology·A M ZaitounP O Wilson
Nov 1, 1991·British Journal of Obstetrics and Gynaecology·J D Goodman, D Sumner
Jun 1, 1993·British Journal of Obstetrics and Gynaecology·N Mahadevan, D H Horwell
Feb 1, 1990·British Journal of Obstetrics and Gynaecology·A LopesJ M Monaghan
May 1, 1996·The Australian & New Zealand Journal of Obstetrics & Gynaecology·M HealeyN Taylor
Jan 2, 2003·Obstetrics and Gynecology Clinics of North America·J Thomas Cox
Oct 18, 2018··Seymour Stein, Seymour Stein

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