Post-Loop Electrosurgical Excision Procedure Complications in Srinagarind Hospital

Area of Science:

• Gynecology
• Oncology
• Public Health

Background:

• Cervical cancer screening and treatment are crucial for women's health.
• Loop Electrosurgical Excision Procedure (LEEP) is a common treatment for cervical dysplasia.
• Understanding post-LEEP complications is essential for patient safety and care.

Purpose of the Study:

• To determine the prevalence of complications following Loop Electrosurgical Excision Procedure (LEEP).
• To identify predictors of post-LEEP complications.
• To evaluate the safety and efficacy of LEEP in a specific hospital setting.

Main Methods:

• Retrospective chart review of 200 patients who underwent LEEP between January 2012 and February 2013.
• Analysis of patient demographics, preceding abnormal cervical cytology, and recorded complications.
• Statistical analysis to identify independent predictors of complications.

Main Results:

• The overall complication rate was 16.5%, with bleeding (11%) being the most common.
• Previous cesarean section was the only independent predictor of post-LEEP complications (OR 3.9).
• High-grade squamous intraepithelial lesion (HSIL) was the most frequent preceding abnormal cytology (50%).

Conclusions:

• Loop Electrosurgical Excision Procedure (LEEP) is a safe procedure with an acceptable complication rate.
• Previous cesarean section may increase the risk of post-LEEP complications, though further research is needed to establish causality.
• LEEP remains a valuable tool in managing cervical abnormalities.