Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Clinical and pathological evaluation of large loop diathermy excision of the transformation zone
In order to make accurate diagnosis and to carry out treatment of cervical preneoplastic disease, large loop diathermy excision of the transformation zone was of performed in 98 patients. The colposcopic assessment was indicated by abnormal smear or history for preneoplastic changes. The entire transformation zone could be excised in one piece in 90 of cases. Histological examination of the specimens confirmed dysplasia in 89% of patients and in 4 cases invasive cervical disease was revealed. The ectocervical and endocervical excision margins were free of dysplastic epithelium in 68% of cases. Compared to traditional cone. biopsy, the new method. is cheaper and. more simple. Loop diathermy excision. of the transformation zone can be performed in local anaesthesia as. an out-patient procedure and there. is no need. for postoperative hospitalization. By reducing the number of general anaesthesia, the workload in gynaecological theatres and by eliminating the need for postoperative hospital stay the method substantially contributes to the improvement of the hospital budget.