Poster-01-058Diathermic Asa Versus Laser Cone Objective: To compare the techniques used in clinics in conizations in Consultorios Dexeus. Method: Retrospective study of a serie of 1332 conizations performed in outpatient settings. The data are drawn from the database of the department. Results: We performed a total of 1332 conizations, 610 cone-laser (45.79%) and 722 loops diathermy (54.20%). The average age of patients was 35 years (18 - 69). The main indication is the high-grade dysplasia HSIL 895 (67.19%). All conizations were performed in outpatient settings. The surgical pieces have an average diameter of 19.83 mm, with laser 20.38 mm + / - 5.16 and 19.36 mm loop + / - 5.71 (p <0.001). The height of the conizations has an average of 14 mm, where laser 16.44 mm + / - 5 and for loops 11.96 mm + / - 6.8 (p <0.0001). The only intraoperative complication was moderate bleeding with a total of 34 patients (2.6%). Have been described 27 (2.0%) cases with postoperative complications, with moderate bleeding 25 (1.87%) the primary, the rest are cervical canal stenosis (0.15%). The vertices are free of disease in 1265 cases (95%) with no differences between conization by loop or laser. The side margins are free in most parts 1225 (92%). Conclusion: In the treatment of cervical dysplasia have used interchangeably as both the loop diathermy conization laser. This is a surgery with minimal complications that can be done in consultation without income or general anesthesia. Because we believe these results have to be abolished conizations cold knife or just stick to very exclusive cases. |
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