Treatment of vaginal dysplasia: just a simple loop electrosurgical excision procedure?
We report a case of sigmoid perforation, peritonitis, and adult respiratory distress syndrome after a loop excision procedure for carcinoma in situ of the cervix and dysplasia of the vagina. Treatment of vaginal dysplasia with loop excision is potentially dangerous. Safer methods of management include carbon dioxide laser, topical 5-fluorouracil, and fulguration.
Powell
J L
JL
Department of Obstetrics and Gynecology, Coastal Area Health Education Center, New Hanover Regional Medical Center, Wilmington, NC 28402-9025, USA.
Asbery
D S
DS
D000328:Adult; D004598:Electrosurgery; D005260:Female; D006801:Humans; D007813:Laparotomy; D011183:Postoperative Complications; D012086:Reoperation; D012307:Risk Factors; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*; D002578:Uterine Cervical Dysplasia / Q000601:surgery*