Cervical Volume Regeneration after Large Loop Electroexcision

Activity: Talk or presentation typesPoster presentation

Description

Large loop electro-excision (LLETZ) is a treatment method of high-grade cervical intraepithelial neoplasia. LLETZ increases preterm labor risk due to mechanical cervical defects and an alteration of the cervical barrier, although the precise mechanism is unknown. This present study aims to calculate the cervical volume (CV) changes six months after the LLETZ procedure.. A prospective cohort study was performed in Riga Maternity hospital from 2021-2022. Eight women of reproductive age who were scheduled for LLETZ were included. CV measurements were carried out with a predefined ultrasound measurement technique by one operator before and 6 months after LLETZ. To precisely measure CV three-dimensional: Virtual Organ Computer-Aided Analysis software was used. Cervical measurements included length, anteroposterior (AP), and transverse diameter (LL). CV difference was calculated by subtracting CV 6 months after LEETZ from the CV before LLETZ. Differences between two groups with different cervical healing patterns were compared using independent samples T-test, as data were normally distributed. . The mean CV before LEETZ was 19,81 cm3 ±7,72 and 6 months after LEETZ 19,50 cm3 ±5,36. We observed two different cervical healing patterns. In four patients the mean CV after 6 months decreased (mean=0.93 cm3 ±0.05), as expected, and in another four the CV increased (mean= 1,14 cm3±0,02). When comparing these two groups they differed by 0.24 cm3, t(6)= -9.2, p
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational