Author/Editor     Arko, Darja; Dovnik, Andraž; Fokter Dovnik, Nina; Takač, Iztok
Title     The role of genital pathogens in morbidity following diathermy loop excision of the transformation zone of the uterine cervix
Type     članek
Vol. and No.     Letnik 117, št. 1
Publication year     2012
Volume     str. 27-29
ISSN     0020-7292 - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Language     eng
Abstract     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.
Descriptors     Cervix Uteri
Maternični vrat
Cervical Intraepithelial Neoplasia
Cervikalna intraepitelijska neoplazija
Diathermy
Diatermija
Gynecologic Surgical Procedures
Ginekološki kirurški postopki
Treatment Outcome
Izid zdravljenja
Keywords     genital pathogens
loop excision of the transformation zone
morbidity