Outpatient loop electrosurgical excision procedure for cervical intraepithelial neoplasia. Can it replace cold knife conization?
OBJECTIVE
To determine if loop electrosurgical excision procedure (LEEP) can replace cold knife conization.


METHODS
In a population at high risk for invasive carcinoma, 163 cases of LEEP conization were performed with the same indications as cold knife for cervical conization.


RESULTS
Seventy-five percent of LEEP surgical specimens were positive for dysplasia. Six cases showed invasive squamous cell carcinoma. No complications were seen.


CONCLUSIONS
LEEP conization is a quick, simple and economical procedure that can safely replace most cases of cold knife conization.
Eduardo
A M
AM
Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston 77555-0587, USA.
Dinh
T V
TV
Hannigan
E V
EV
Yandell
R B
RB
Schnadig
V J
VJ
D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000191:economics / Q000379:methods* / Q000592:standards; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D002584:Cervix Uteri / Q000473:pathology; D019092:Conization / Q000191:economics / Q000379:methods* / Q000592:standards; D004598:Electrosurgery / Q000191:economics / Q000379:methods* / Q000592:standards; D005260:Female; D006801:Humans; D008875:Middle Aged; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*