home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Shareware Overload Trio 2
/
Shareware Overload Trio Volume 2 (Chestnut CD-ROM).ISO
/
dir26
/
med9409d.zip
/
M9490597.TXT
< prev
next >
Wrap
Text File
|
1994-09-24
|
2KB
|
37 lines
Document 0597
DOCN M9490597
TI Pure cutting current for loop excision of squamous intraepithelial
lesions.
DT 9411
AU McLucas B; McGill J; Department of Obstetrics and Gynecology, University
of California; at Los Angeles 90024.
SO J Reprod Med. 1994 May;39(5):373-6. Unique Identifier : AIDSLINE
MED/94343353
AB Clear margins are critical to the identification of complete excision of
premalignant lesions on the cervix. Large loop excision of the
transformation zone aids the pathologic evaluation of the excised
specimen while it causes minimal thermal damage. Prior studies of loop
excision were performed with a cutting current blended with a
coagulating waveform to aid hemostasis. Blended current has higher
voltage, which may cause tissue to stick to the electrode and produce
thermal damage to the cervix. In this series, pure cutting current was
used to excise the cervical transformation zone in 20 patients. The
depth of thermal damage was studied in 6 patients; the average
endocervical zone of damage was 0.47 mm and that of the exocervical
zone, 0.43 mm. The base of the cervix could be examined with the
colposcope for the presence of glands. None of our procedures was
complicated by intraoperative or delayed bleeding. The preoperative
injection of a vasoconstrictor into the cervical stroma is thought to
aid the surgery by its hemostatic properties.
DE Carcinoma, Squamous Cell/PATHOLOGY/*SURGERY Cervical Intraepithelial
Neoplasia/PATHOLOGY/*SURGERY Cervix Neoplasms/PATHOLOGY/*SURGERY
Colposcopy Drug Combinations Electrosurgery/ADVERSE
EFFECTS/INSTRUMENTATION/*METHODS Epinephrine/THERAPEUTIC USE Female
Follow-Up Studies Human Lidocaine/THERAPEUTIC USE Pilot Projects
Premedication Uterine Hemorrhage/EPIDEMIOLOGY/ETIOLOGY JOURNAL ARTICLE
REVIEW REVIEW, MULTICASE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).