Tangtrakul S, Srisupundit S, Linasmita V, Bullangpoti S, Israngura N, Wilailak S, Panijayanusondthi O
Department of Obstetrics and Gynecoloty, Faculty of Medecine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Obstet Gynaecol (Tokyo 1995). 1995 Dec;21(6):587-91. doi: 10.1111/j.1447-0756.1995.tb00917.x.
To compare the short-term outcome of cold-knife conization between suture and non-suture (with Monsel's solution pack) 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.
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.
The non-suture method of conization should replace the traditional suture method.
