Laser Conisation Vs. Cold Knife Conisation for Cin
Karagyozov, I.
Akusherstvo i Ginekologiia 55(1): 27-32
2016
ISSN/ISBN: 0324-0959 PMID: 27514128 Document Number: 687577
For the period of 5 years (2008-2012) at the outpatient department and the operation theater of Tokuda hospital 280 conisations were done--135 lasers and 145 cold knifes. Indications for the operation were common, with no specific choice for the aim of comparison. All patients had proven colposcopic or histologic dysplasia of the cervix. The operations were performed 2 or 3 days after menstruation. Laser conisations received local anesthesia and were not hospitalized. Cold knife conisations were done at the operation theater under regional anesthesia, they attended the hospital for 24 hours, had vaginal tapenade and urethral catheter. Indications for the operation were as follows: CIN I-14 laser and 38 cold knife conisations; CIN II-30 laser and 28 cold knife conisations; CIN III--CIS-73 laser and 74 cold knife conisations. The follow up is: 2 months after the operation-colposcopy and every 3 months afterwards--PAP smear and colposcopy for 1 year.