title: [Ultrasonographic evaluation of the uterine cervix length remaining after LOOP-excision].
abstract: OBJECTIVE
  To assess whether there is a correlation between the length of a conization specimen and the length of the cervix measured by vaginal ultrasonography after the operation
  
  
  METHODS
  Prospective observational study including patients less than 45 years with measurement of cervical length before and the day of the conization, and measuring the histological length of the specimen.
  
  
  RESULTS
  Among the 40 patients enrolled, the average ultrasound measurements before conization was 26.9 mm (± 4.9 mm) against 18.1mm (± 4.4mm) after conization with a mean difference of 8.8mm (± 2.4mm) (difference statistically significant P<.0001). The extent of histological specimen was 9 mm (± 2.2mm) on average. A correlation between ultrasound and histological measurements with a correlation coefficient R=0.85 was found statistically significant (P<0.0001). Moreover, the rate of cervix length remove by loop-excision in our series is 33% (± 8.5%).
  
  
  CONCLUSIONS
  A good correlation between the measurements of the specimen and the cervical ultrasound length before and after conization was found, as a significant reduction in cervical length after conization. The precise length of the specimen should be known in case of pregnancy and the prevention of prematurity due to conization rests on selected indications and efficient surgical technique.
authors.affiliation: Service de gynécologie, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90 347, 35203 Rennes cedex 2, France.
authors.forename: A-L
authors.initials: AL
authors.lastname: Robert
authors.affiliation: Service de gynécologie, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90 347, 35203 Rennes cedex 2, France.
authors.forename: F
authors.initials: F
authors.lastname: Nicolas
authors.affiliation: Service de gynécologie, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90 347, 35203 Rennes cedex 2, France.
authors.forename: V
authors.initials: V
authors.lastname: Lavoué
authors.affiliation: Service d'anatomie et cytologie pathologiques, CHU Pontchaillou, 2, rue Henri-Le Guilloux, 35033 Rennes cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Henno
authors.affiliation: Département d'information médicale, CRLCC Eugène-Marquis, avenue de la Bataille-Flandres-Dunkerque, CS 44229, 35042 Rennes cedex, France.
authors.forename: H
authors.initials: H
authors.lastname: Mesbah
authors.affiliation: Département d'information médicale, CRLCC Eugène-Marquis, avenue de la Bataille-Flandres-Dunkerque, CS 44229, 35042 Rennes cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Porée
authors.affiliation: Service de gynécologie, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90 347, 35203 Rennes cedex 2, France. Electronic address: jean.leveque@chu-rennes.fr.
authors.forename: J
authors.initials: J
authors.lastname: Levêque
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D019092:Conization / Q000009:adverse effects; D005260:Female; D006801:Humans; D011247:Pregnancy; D047928:Premature Birth / Q000517:prevention & control; D011446:Prospective Studies; D014463:Ultrasonography; D002583:Uterine Cervical Neoplasms / Q000473:pathology; D002578:Uterine Cervical Dysplasia / Q000473:pathology
keywords: Cervical LOOP excision; Cervix length; Conisation; Conization; Longueur cervicale; Transvaginal ultrasonography; Échographie endovaginale; Électrorésection du col utérin à l’anse diathermique