Outpatient surgery in gynecologic oncology.
There has been an enormous change in outpatient-directed surgery for human papillomavirus-related lesions of the anogenital tract over the past 2 years. Concern that a small number of invasive cancers were being missed during evaluation and were being treated as precursors led many investigators to suggest excisional rather than ablative procedures for precursor management. The use of cold-knife or carbon dioxide laser excisions was recommend as the procedure of choice--particularly for high-grade cervical intraepithelial neoplasia lesions. With the introduction of the loop electrosurgical excision procedure, the focus rapidly shifted to electrosurgical excision, which has been found to be clinically useful, although with caveats, and is now the procedure of choice.
Richart
R M
RM
Division of Obstetric and Gynecologic Pathology and Cytology, Sloane Hospital for Women, New York, NY 10032.
Wright
T C
TC
D000556:Ambulatory Surgical Procedures / Q000295:instrumentation / Q000379:methods; D004598:Electrosurgery / Q000295:instrumentation / Q000379:methods; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation / Q000379:methods