[Treatment of dysplasias and cancers of the cervix. In defense of and illustration of the conization procedure using a cold scalpel under local anesthesia with hospitalization for a day].
A series of 143 cone biopsies performed for carcinoma in situ between October 1st, 1981 and July 31st, 1984 is described. Complications were rare: reoperation in 1.5 per cent of cases. "Oncological" results were good. There were few failures: 3.5 per cent of cases. Examination of the operative specimen revealed occult invasive carcinomas: 12.3 per cent of cases. It was also used to identify patients with a "high risk of recurrence", those in whom the resection had not passed through "healthy" tissue: 28.0 per cent of cases. Performed under local anaesthetic using a cold scalpel and with day hospitalisation, the operation is easy and inexpensive (1 309.71 francs).
D000328:Adult; D000556:Ambulatory Surgical Procedures; D001706:Biopsy / Q000379:methods; D002278:Carcinoma in Situ / Q000601:surgery*; D005260:Female; D006801:Humans; D002578:Uterine Cervical Dysplasia / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000601:surgery*
Traitement des dysplasies et cancers du col utérin. Défense et illustration de la conisation au bistouri à froid sous anesthésie locale en hospitalisation de jour.