Avtor/Urednik		Arko, Darja; Dovnik, Andraž; Fokter Dovnik, Nina; Takač, Iztok
Naslov		The role of genital pathogens in morbidity following diathermy loop excision of the transformation zone of the uterine cervix
Tip		članek
Vol. in št.		Letnik 117, št. 1
Leto izdaje		2012
Obseg		str. 27-29
ISSN		0020-7292 - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Jezik		eng
Abstrakt		Objective: To evaluate the role of genital pathogens in postoperative morbidity following diathermy loop excision of the transformation zone (LETZ) of the uterine cervix. Methods: Patients with cervical intraepithelial neoplasia (CIN) who underwent diathermy LETZ were included in a prospective study. Cervical swabs for genital pathogens were collected before the diathermy procedure. After surgery, women were followed-up regarding the occurrence and severity of postoperative pain, bleeding, and discharge. Results: Genital pathogens were present in 463 of 788 (58.8%) cases. The most frequently isolated groups of microorganisms were group B ß-hemolytic Streptococcus, alpha-hemolytic Streptococcus, Enterococcus species, and coliforms. In patients with genital pathogens, postoperative pain was present in 298 (37.8%), discharge in 262 (33.2%), and bleeding in 236 (29.9%) cases. In patients without genital pathogens, 199 (25.3%) experienced pain, 181 (23.0%) discharge, and 143 (18.1%) bleeding. The differences between the 2 groups were not statistically significant (chi(2) for pain=0.675; chi(2) for discharge=0.031; chi(2) for bleeding=3.444; P>0.05). Conclusion: Genital pathogens are very common among patients with CIN and do not affect the occurrence or severity of pain, discharge, or postoperative bleeding after diathermy LETZ.
Deskriptorji		Cervix Uteri Maternični vrat Cervical Intraepithelial Neoplasia Cervikalna intraepitelijska neoplazija Diathermy Diatermija Gynecologic Surgical Procedures Ginekološki kirurški postopki Treatment Outcome Izid zdravljenja
Proste vsebinske oznake		genital pathogens loop excision of the transformation zone morbidity