Individualized Electrosurgical Excision of Cervical Intraepithelial Neoplasia of the Uterus

ABSTRACT

Large loop excision of the transformation zone of the uterine cervix often results in multiple specimens, which cause difficulties in pathologic interpretation and handling in laboratories, whereas traditional cold-knife conization sometimes needs some sutures for hemostasis. To diminish the disadvantages of these techniques, the author used needle electrodes and long-armed loop electrodes. With this procedure, the excision of the transformation zone could be individualized for each patient, and the specimens were easily obtained in one piece in 92% of 75 patients, not only by conization or by plate-shaped excision of extensive ectocervical lesions in young women, but also by cylinder-shaped excision of invisible endocervical lesions in the atrophic uteri of postmenopausal women whose condition did not allow satisfactory colposcopy or reliable guided biopsy. Pathologic diagnoses obtained from excised specimens and clinical decisions were unambiguous in all cases. (J GYNECOL SURG 16:25, 2000)