Article Menu

Export Article

More by Authors Links

Article Data

  • Views 2446
  • Dowloads 110

Original Research

Open Access

Complications following type 3 excision by needle excision ofthe transformation zone: a case series report

  • F.M. Gaba1,*,
  • M. Cruickshank1
  • H. Ayaz2

1 University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Aberdeenshire, United Kingdom

2Department of Obstetrics & Gynaecology, Raigmore Hospital, Inverness, United Kingdom

DOI: 10.12892/ejgo3455.2017 Vol.38,Issue 2,April 2017 pp.196-198

Published: 10 April 2017

*Corresponding Author(s): F.M. Gaba E-mail: faizagaba@nhs.net

PDF (94.58 kB) View Full-text

Abstract

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.

Keywords

Needle excision of the transformation zone (NETZ); Complications; Scoring system; Risk factors.

Cite and Share

F.m. Gaba, M. Cruickshank, H. Ayaz. Complications following type 3 excision by needle excision ofthe transformation zone: a case series report. European Journal of Gynaecological Oncology. 2017; 38(2): 196-198. doi: 10.12892/ejgo3455.2017

URL:

https://www.ejgo.net/articles/10.12892/ejgo3455.2017

References

[1] Hillemanns P., Kimmig R., Dannecker C., Noorzal T., Diebold J., Thaler C.J., et al.: “LEEP versus cold knife conization for treatment of cervical intraepithelial neoplasia”. Zentralb. Gynakol., 2000, 122, 35.

[2] IBM Corp. Released 2012: “IBM SPSS Statistics for Windows Version 21.0”. Armonk, NY: IBM Corp.

[3] Bornstein J., Bentley J., Bosze P., Girardi F., Haefner H., Menton M., et al.: “2011 colposcopic terminology of the International Federation for Cervical Pathology and Colposcopy”. Obstet. Gynecol., 2012, 120, 9.

[4] Sadek A.L.: “Needle excision of the transformation zone: A new method for treatment of cervical intraepithelial neoplasia”. Am. J. Obstet. Gynecol., 1999, 182, 866.

[5] Dunn T.S., Killoran K., Wolf D.: ‘Complication of outpatient LLETZ procedures”. J. Reprod. Med., 2004, 49, 76.

[6] Moss E.L., Appleyard T.L., Winning J.M., Jones P.W., Luesley D.M.: “Indication and outcome of repeat large loop excision biopsies of the cervix”. J. Low. Genit. Tract Dis., 2011, 15, 89.

[7] Cotton S.C., Sharp L., Little J., Duncan I., Alexander L., Cruickshank M.E., et al.: “Trial of management of borderline and other low-grade abnormal smears (TOMBOLA): Trail design”. Contemp. Clin. Trials, 2006, 27, 449.

[8] Russomano F., Tristao M.A.P., Cortes R., Camargo M.J.: “A comparison between type 3 excision of the transformation zone by straight wire excision of the transformation zone (SWETZ) and large loop excision of the transformation zone (LLETZ): a randomized study”. BMC Womens Health, 2015, 15, 12.

[9] Cavanaugh D.L., Berry J., Yarboro S.R., Dahners L.E.: ‘Better prophylaxis against surgical site infection with local as well as systemic antibiotics. An in vivo study”. J. Bone Joint Surg. Am., 2009, 91, 1907.

Submission Turnaround Time

Top