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Related Experiment Video

Updated: Jul 15, 2026

Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
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Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps

Published on: August 2, 2024

Pregnancy outcome after cervical cone excision: a case-control study.

Katrine Donvold Sjøborg1, Ingvild Vistad, Siv S Myhr

  • 1Department of Obstetrics and Gynecology, Oestfold Hospital Trust, Fredrikstad, Norway. xatsjo@so-hf.no

Acta Obstetricia Et Gynecologica Scandinavica
|May 9, 2007
PubMed
Summary

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Cervical laser conisation (CLC) and loop electrosurgical excision procedure (LEEP) increase risks for subsequent pregnancies. These procedures are linked to higher rates of preterm delivery, low birth weight, and preterm premature rupture of membranes.

Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Health
  • Perinatal Medicine

Background:

  • Cervical conisation procedures, including cervical laser conisation (CLC) and loop electrosurgical excision procedure (LEEP), are common treatments for cervical abnormalities.
  • The potential impact of these procedures on subsequent pregnancy outcomes requires thorough investigation.

Purpose of the Study:

  • To evaluate the association between CLC or LEEP and outcomes of subsequent pregnancies.
  • To assess risks including perinatal mortality, gestation length, birth weight, and preterm premature rupture of membranes (pPROM).

Main Methods:

  • A multi-centre, retrospective case-control study involving 742 women treated with CLC or LEEP.
  • A control group of 742 women was matched by age and parity.

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Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
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Published on: August 2, 2024

  • Outcomes analyzed included perinatal mortality, gestation length, birth weight, and pPROM.

    • Main Results:

    • No significant difference in perinatal mortality was observed between treated and control groups.
    • Conisation significantly increased the risk of preterm birth (before 37, 32, and 28 weeks).
    • Significantly higher adjusted odds ratios were found for low birth weight (<2,500g, <1,500g, <1,000g) and pPROM.

    Conclusions:

    • Cervical laser conisation (CLC) and loop electrosurgical excision procedure (LEEP) are associated with increased risks in subsequent pregnancies.
    • These risks include preterm delivery, low birth weight, and preterm premature rupture of membranes (pPROM).
    • Healthcare providers should counsel patients on these potential risks.