title: Post-Loop Electrosurgical Excision Procedure Complications in Srinagarind Hospital.
abstract: The purpose of this study was to evaluate the prevalence and predictors of post-Loop Electrosurgical Excision Procedure (LEEP) complications in Srinagarind Hospital, Khon Kaen, Thailand. Retrospective chart review was performed for 200 patients undergoing LEEP during January 2012 to February 2013. Their mean age was 45 years-old. Fifty-three (26.5%) were menopausal. The three most common preceding abnormal cervical cytology were high-grade squamous intraepithelial lesion (HSIL; 50%), atypical squamous cell cannot exclude HSIL (ASC-H; 10.5%), and low-grade squamous intraepithelial lesion (LSIL; 10%). The overall complications prevalence rate was 16.5% (95%CI, 11.4-21.6). Complications included bleeding (11%; 95%CI, 6.66-15.3), offensive discharge (4%; 95%CI, 1.28-6.72), and pelvic inflammatory disease (1.5%; 95%CI, 0.18-3.18). Only mode of delivery was an independent predictor of post-LEEP complications. Women with previous caesarean sections carried an increased risk of complications by 3.9 times (95%CI, 1.21-12.56) compared with vaginal delivery. In conclusion, LEEP is generally safe with an acceptable complication rate. Previous caesarean section was the only independent predictor for post-LEEP complications. However, this predictor still needs prudent evaluation as no clear cause-effect relationship was identified.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand E-mail : bchumworathayi@gmail.com.
authors.forename: Pimjai
authors.initials: P
authors.lastname: Maleerat
authors.forename: Bandit
authors.initials: B
authors.lastname: Chumworathayi
authors.forename: Chumnan
authors.initials: C
authors.lastname: Kietpeerakool
authors.forename: Sanguanchoke
authors.initials: S
authors.lastname: Luanratanakorn
authors.forename: Amornrat
authors.initials: A
authors.lastname: Temtanakitpaisan
mesh_terms: D000328:Adult; D065309:Atypical Squamous Cells of the Cervix / Q000473:pathology; D003127:Colposcopy; D004598:Electrosurgery / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D065006:Papanicolaou Test; D011183:Postoperative Complications; D011247:Pregnancy; D011379:Prognosis; D012189:Retrospective Studies; D065310:Squamous Intraepithelial Lesions of the Cervix / Q000601:surgery*; D013785:Thailand; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014626:Vaginal Smears; D002578:Uterine Cervical Dysplasia / Q000601:surgery*