Affiliation:
1. Special Gynecological Hospital “Genesis“, Novi Sad
Abstract
Introduction. In the period from 2010 to 2021, 150 patients were treated with
loop electrosurgical excision of the cervix at the Special Gynecological
Hospital ?Genesis?, Novi Sad. The aim of this study was to present the
results of treatment, incidence of complications and recurrences after loop
excision in the treatment of cervical dysplasia. Material and Methods. The
study group A included 87 (58%) patients with cervical intraepithelial
neoplasia, and the control group B included 63 (42%) patients with benign
lesions of the cervix. Results. The total number of complications (bleeding,
pain, infection) in the group A was recorded in 16 (20.7%) and in group B in
4 (6.4%) patients, and this difference was statistically significant. The
absolute risk of complications in the group A was 18.39% and 6.34% in the
group B. The relative risk of complications was 2.9, meaning that women in
group A had a 3 times higher relative risk of complications compared to
women in the group B. The absolute risk of recurrence in the group A was
4.56% and 4.76% in the group B. The relative risk of recurrence was 0.96.
Women in the group A had a 4% lower relative risk of recurrence than women
in the group B. The recurrence rate was lower in the group B (4.8%) compared
to the group A (5.9%), but this difference was not statistically
significant. Conclusion. Loop electrosurgical excision is the treatment of
choice in the treatment of cervical dysplasia with good therapeutic outcomes
and a low complication and recurrence rate.
Publisher
National Library of Serbia
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