Bleeding after loop electrosurgical excision procedure performed in either the follicular or luteal phase of the menstrual cycle: a randomized trial

dc.contributor.authorParaskevaidis, E.en
dc.contributor.authorDavidson, E. J.en
dc.contributor.authorKoliopoulos, G.en
dc.contributor.authorAlamanos, Y.en
dc.contributor.authorLolis, E.en
dc.contributor.authorMartin-Hirsch, P.en
dc.date.accessioned2015-11-24T19:32:44Z
dc.date.available2015-11-24T19:32:44Z
dc.identifier.issn0029-7844-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/23446
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectBlood Loss, Surgicalen
dc.subjectCervical Intraepithelial Neoplasia/*surgeryen
dc.subjectElectrosurgery/*adverse effectsen
dc.subjectFemaleen
dc.subjectFollicular Phaseen
dc.subjectHemorrhage/*etiologyen
dc.subjectHumansen
dc.subjectLuteal Phaseen
dc.subject*Menstrual Cycleen
dc.subjectPostoperative Hemorrhage/etiologyen
dc.subjectProspective Studiesen
dc.subjectTreatment Outcomeen
dc.subjectUterine Cervical Neoplasms/*surgeryen
dc.subjectUterine Hemorrhage/etiologyen
dc.titleBleeding after loop electrosurgical excision procedure performed in either the follicular or luteal phase of the menstrual cycle: a randomized trialen
heal.abstractOBJECTIVE: To estimate the perioperative or postoperative bleeding rates after treatment of cervical intraepithelial neoplasia by loop electrosurgical excision procedure in either the follicular or luteal phase of the menstrual cycle. METHODS: A randomized controlled trial was carried out to compare the outcomes in terms of primary and secondary hemorrhage between patients treated by loop electrosurgical excision procedure during either the follicular (30 women) or luteal phase (30 women) of the menstrual cycle. The two groups did not differ in terms of mean age, grade of cervical intraepithelial neoplasia, depth of excision, parity, and duration of menses. Primary outcome measures included the objective and subjective assessment of intraoperative and postoperative bleeding. RESULTS: Women treated during the luteal phase of the menstrual cycle experienced significantly more postoperative bleeding than women treated during the follicular phase, as assessed by the fall in hematocrit levels (P <.001) and subjective reports. Intraoperative bleeding was judged to be more severe in women treated during the luteal phase of the cycle by a single, blinded colposcopist (P =.02). These women also experienced higher levels of anxiety postoperatively, which resulted in more consultations with medical staff (P =.007). CONCLUSION: The use of loop electrosurgical excision procedure to treat cervical intraepithelial neoplasia results in less bleeding if performed during the follicular phase of the menstrual cycle.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/12052589-
heal.journalNameObstet Gynecolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2002-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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