The effect of cervical loop electrosurgical excision on subsequent pregnancy outcome: North American experience

Article Abstract:

Cervical loop electrosurgical excision of abnormal cervical tissue appears to have no adverse effects on future childbearing. This procedure is a new technique for cutting away precancerous lesions of the cervix. The incidence and outcome of pregnancies were tracked in 574 women who had cervical loop electrosurgical excision to a maximum depth of 1.5 cm. Pregnancy incidence over a three-year period was compared with expected numbers in untreated fertile women. The incidence of pregnancy was the same in the treated women as in the general population. There were 54 pregnancies and all live-born infants were term births. There were two stillbirths and three first trimester miscarriages. The miscarriage rate was within expected limits. Electrosurgical excision was not associated with low birth weight. However, smoking ten or more cigarettes a day was associated with low birth weight.

Physiological aspects, Surgery, Cervix dysplasia, Electrosurgery

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Deep loop excision for prehysterectomy endocervical evaluation

Article Abstract:

Deep loop excision of the mucous membrane of the cervix performed in a doctor's office may be as effective and less expensive than cone biopsy for evaluation of the cervix before planned hysterectomy. Researchers compared the results of 31 patients who had deep loop excision with frozen-section evaluation of the cervix and hysterectomy to 50 patients who had cone biopsy with frozen-section evaluation and hysterectomy and found that they were similar. Costs were reduced with use of deep loop excision because waiting time before surgery was reduced.

Methods, Cervix uteri, Biopsy, Cervix uteri biopsy

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Primary vaginal melanoma: thirteen-year disease-free survival after wide local excision and review of recent literature

Article Abstract:

A case is presented of a woman who is disease-free 13 years after being treated for vaginal melanoma. The tumor was detected during a routine pelvic exam when she was 55 years old. A biopsy revealed melanoma and three weeks later, she had surgery. A wide local excision with a two-centimeter margin was made and no trace of melanoma was found in the tissues. She did not receive radiation or chemotherapy. A review of the literature revealed that she is only the third person treated for vaginal melanoma to survive longer than 10 years.

Prognosis, Melanoma, Vaginal cancer

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