[Prevention of obstetrical complications following LEEP, is it possible?].
Fiche publication
Date publication
janvier 2014
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BALDAUF Jean-Jacques
Tous les auteurs :
Baldauf JJ, Baulon E, Thoma V, Akladios CY
Lien Pubmed
Résumé
Recent epidemiological data suggest an increase of the incidence and prevalence of CIN as well as a decrease of the mean age of the patients presenting these lesions. Large loop electrosurgical procedure (LEEP) is the most commonly used treatment method. According to recent studies LEEP provides a 1.4 to 7.0 fold increase of preterm delivery. Cervical cerclage does not show efficiency in reducing this risk, even if cervical shortening is measured by transvaginal ultrasound. Considering histological severity of lesions and the age of patients, number of currently conducted conizations in France could be avoided and so their obstetrical consequences prevented, just because no treatment is necessary or could be done by ablative procedures.
Référence
J Gynecol Obstet Biol Reprod (Paris). 2014 Jan;43(1):19-25