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A randomized study comparing suture with non-suture cold-knife conization.

作者信息

Tangtrakul S, Srisupundit S, Linasmita V, Bullangpoti S, Israngura N, Wilailak S, Panijayanusondthi O

机构信息

Department of Obstetrics and Gynecoloty, Faculty of Medecine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

J Obstet Gynaecol (Tokyo 1995). 1995 Dec;21(6):587-91. doi: 10.1111/j.1447-0756.1995.tb00917.x.

Abstract

OBJECTIVE

To compare the short-term outcome of cold-knife conization between suture and non-suture (with Monsel's solution pack) methods.

METHODS

Between February, 1990 and March, 1992, 142 patients underwent cold-knife conization were randomly allocated into 2 groups. The hemostasis was done by suture in one group and by Monsel's solution pack without suture in the other group. The patients' and cone specimens' characteristics as well as short-term outcome were recorded and compared using Chi-square test, Fisher exact test and t-test where appropriate.

RESULTS

The patients' characteristics, cone size, and histologic diagnosis of both groups were comparable. The non-suture group had shorter operative time (10.69 +/- 7.86 vs. 20.04 +/- 6.99 minutes) and lesser late hemorrhage (2.9 vs. 15.9%) than the suture group (p < 0.05). There was no statistical difference in the operative blood loss.

CONCLUSION

The non-suture method of conization should replace the traditional suture method.

摘要

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