Conization of the cervix uteri. Complications in connection with plain catgut or silk suturing.
During a retrospective study on postoperative complications in 213 patients who had undergone conization, a (non-significant) reduction in the bleeding rate from 27.9% to 18.6% was found when using silk sutures (102 patients) instead of plain catgut (111 patients) for adaption of the edges of the wound (0.1 less than p less than 0.2). The reduction was most pronounced and significant in cases where bleeding had occurred during the first 4 days after surgery, the usual period for hospital stay under normal conditions. After discharge the bleeding rates were more comparable, 12.6% in the catgut group and 16.6% in the silk group. On the other hand, more cases of stenosis of the cervical canal were observed, i.e., 25.5% in the silk group and 8.1% in the catgut group (p less than 0.001). The period of hospitalization was reduced on an average by 2 days when using silk (p less than 0.001).
D000328:Adult; D000568:Amenorrhea / Q000209:etiology*; D002398:Catgut / Q000009:adverse effects; D002584:Cervix Uteri / Q000601:surgery*; D004412:Dysmenorrhea / Q000209:etiology*; D005260:Female; D006801:Humans; D012189:Retrospective Studies; D013537:Sutures / Q000009:adverse effects*; D002577:Uterine Cervical Diseases / Q000601:surgery*; D002578:Uterine Cervical Dysplasia / Q000601:surgery; D002579:Uterine Cervical Erosion / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014592:Uterine Hemorrhage / Q000209:etiology*