IMR Press / EJGO / Volume 38 / Issue 2 / DOI: 10.12892/ejgo3455.2017

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Complications following type 3 excision by needle excision of the transformation zone: a case series report
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1 University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Aberdeenshire, United Kingdom
2 Department of Obstetrics & Gynaecology, Raigmore Hospital, Inverness, United Kingdom
Eur. J. Gynaecol. Oncol. 2017, 38(2), 196–198;
Published: 10 April 2017

Objective: To determine short-term complications and related risk factors following needle excision of the transformation zone (NETZ). Materials and Methods: A case series of 105 women with NETZ for cervical pathology between 2006-2013 in a single center. Results: The overall complication rate was 22.9%. Heavy primary bleeding occurred in 12.4% of cases (< 500 ml), secondary hemorrhage 7.6%, emergency hysterectomy 1.9%, and cervical stenosis 2.9%. Where excision depth was > 20 mm, this was a non-significant increase in the risk of hemorrhage, but a significant reduction in the risk of a subsequent hysterectomy (p = 0.035). Conclusion: NETZ is associated with a number of complications and recognition of risk factors should be considered when planning type 3 excisional procedures and counseling women.
Needle excision of the transformation zone (NETZ)
Scoring system
Risk factors
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