The use of large loop excision of the transformation zone (LLETZ) in an outpatient setting

An audit of the results of 129 patients treated in the first 12 months of operation of an outpatient large loop excision of the transformation zone (LLETZ) clinic was performed. It confirmed the efficacy of the procedure in treatment of cervical intraepithelial neoplasia (CIN) with a cure rate of 93...

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Bibliographic Details
Published in:Australian & New Zealand journal of obstetrics & gynaecology Vol. 36; no. 3; p. 338
Main Author: Powell, B
Format: Journal Article
Language:English
Published: Australia 01.08.1996
Subjects:
Adolescent
Adult
Ambulatory Surgical Procedures
Biopsy
Cervical Intraepithelial Neoplasia - pathology
Cervical Intraepithelial Neoplasia - surgery
Diagnostic Errors
Electrosurgery - methods
Female
Follow-Up Studies
Humans
Medical Audit
Middle Aged
Patient Compliance
Postoperative Complications
Pregnancy
Pregnancy Outcome
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
ISSN:0004-8666
Online Access:Get more information
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Summary:An audit of the results of 129 patients treated in the first 12 months of operation of an outpatient large loop excision of the transformation zone (LLETZ) clinic was performed. It confirmed the efficacy of the procedure in treatment of cervical intraepithelial neoplasia (CIN) with a cure rate of 93.8%. Major deficiencies identified were the lack of compliance with recommended follow-up, a major discrepancy between predicted diagnosis on colposcopically directed punch biopsy and LLETZ specimen histology, and a large proportion of LLETZ specimens which had negative histology and may be regarded as overtreatment. Suggested strategies to address these include observation of low-grade lesions and treatment with LLETZ at the first clinic appointment.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0004-8666
DOI:10.1111/j.1479-828X.1996.tb02725.x