Outcome of loop electrosurgical excision for HIV-positive women in a low-resource outpatient setting.
OBJECTIVE
To assess outcome in HIV-positive women undergoing the loop electrosurgical excision procedure (LEEP).


METHODS
A prospective study was conducted with 789 outpatients undergoing LEEP at Chiang Mai University Hospital between October 2004 and June 2008.


RESULTS
The 70 HIV-positive women (8.9%) were younger (P<0.001) and had a lower parity (P<0.001) than the remaining women. The proportion of women undergoing LEEP for persistent low-grade lesions was higher (8.6% vs 1.9%) and the prevalence of margin involvement was higher (60.0% vs 49.4%) among the HIV-positive women. After adjusting for age, parity, menopausal status, size of excised lesion, and histopathologic result, HIV infection was not significantly associated with LEEP complications (adjusted odds ratio, 0.41; 95% confidence interval, 0.15-1.15).


CONCLUSIONS
The higher risk of resection margin involvement in HIV-infected women was not associated with LEEP complications.
Kietpeerakool
Chumnan
C
Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. kiet_ji@hotmail.com
Suprasert
Prapaporn
P
Srisomboon
Jatupol
J
D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods; D004598:Electrosurgery / Q000009:adverse effects / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000601:surgery; D006785:Hospitals, University; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D013785:Thailand / Q000453:epidemiology; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D002578:Uterine Cervical Dysplasia / Q000150:complications / Q000473:pathology / Q000601:surgery*