[Evaluation of satisfaction after in-office conization under local anesthesia].
OBJECTIVE
Treating cervical intraepithelial neoplasia is essential in cervix carcinoma prevention and conization is the standard treatment. In the current medical and economic context, which advocates the simplification of procedures, loop excision conization is well adapted to an in-office procedure. Therefore, we evaluated the patient satisfaction after an in-office conization.


METHODS
We conducted an observational study at the Besançon University Medical Centre. Between November 2013 and October 2014, all patients treated by an in-office conization were included. Global satisfaction of patient was retrospectively collected by answering a telephone questionnaire.


RESULTS
Seventy patients were treated by in-office conization and answered the questionnaire. Global satisfaction was 88.6%. Moreover, 75.7% of patients declared to have felt no pain or moderate pain during the conization. Most of the patients (91.4%) would advise this in-office care to their relatives. The rate of positive margins for dysplasia was 31.4% and postoperative haemorrhage occurred in 7.1%.


CONCLUSIONS
In this context of medical care cost reduction, conization seems to be perfectly adapted to in-office surgery. It was also found to be well accepted by patients without raising neither positive margins rate nor postoperative haemorrhage risk.
Pôle mère-femme, centre hospitalier régional universitaire Jean-Minjoz, 3, boulevard Fleming, 25030 Besançon cedex, France.
J
J
Cattin
Pôle mère-femme, centre hospitalier régional universitaire Jean-Minjoz, 3, boulevard Fleming, 25030 Besançon cedex, France.
E
E
Rufenacht
Pôle mère-femme, centre hospitalier régional universitaire Jean-Minjoz, 3, boulevard Fleming, 25030 Besançon cedex, France.
M
M
Roesch
Pôle mère-femme, centre hospitalier régional universitaire Jean-Minjoz, 3, boulevard Fleming, 25030 Besançon cedex, France.
M
M
Chehab
Pôle mère-femme, centre hospitalier régional universitaire Jean-Minjoz, 3, boulevard Fleming, 25030 Besançon cedex, France.
R
R
Ramanah
Pôle mère-femme, centre hospitalier régional universitaire Jean-Minjoz, 3, boulevard Fleming, 25030 Besançon cedex, France. Electronic address: didier.riethmuller@univ-fcomte.fr.
D
D
Riethmuller
D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000592:standards*; D000772:Anesthesia, Local; D002584:Cervix Uteri / Q000473:pathology*; D003127:Colposcopy / Q000592:standards*; D019092:Conization / Q000592:standards*; D005260:Female; D006801:Humans; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D017060:Patient Satisfaction; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D002578:Uterine Cervical Dysplasia / Q000601:surgery*
Cervix intraepithelial neoplasia; Conisation; Conization; Consultation; In-office; Néoplasie intra-épithéliale cervicale; Satisfaction