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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Chigbu, Chibuike O. Onyebuchi, Azubuike K. |
| Spatial Coverage | Nigeria |
| Description | Author Affiliation: Chigbu CO ( Department of Obstetrics and Gynecology, University of Nigeria Enugu Campus, Enugu, Nigeria. Electronic address: chchigbu@yahoo.com.); Onyebuchi AK ( Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Nigeria.) |
| Abstract | OBJECTIVE: To compare the effectiveness of cryotherapy and loop electrosurgical excision procedure without colposcopy (visual LEEP) in treating cervical lesions detected through visual inspection with acetic acid (VIA). METHODS: In rural southeast Nigeria, women with VIA-positive lesions who were eligible for ablative treatment were selected to undergo immediate cryotherapy with nitrous oxide. Women with VIA-positive lesions who were not eligible for ablative treatment were selected to undergo visual LEEP at the same visit. A portable diathermy machine was used for LEEP. Participants were re-evaluated 6 months later using VIA. The main outcome measures included persistent VIA positivity at 6 months, duration of procedure, second clinic visits for complications, and patient acceptability. RESULTS: In total, 304 women completed the study. Persistent VIA-positivity rates, duration of procedure, second clinic visits for complications, and patient acceptability were similar in the 2 groups. CONCLUSION: Visual LEEP and cryotherapy have similar efficacy and patient acceptability in see-and-treat management of VIA-positive cervical lesions. In see-and-treat VIA-based cervical cancer prevention programs in low-resource countries, visual LEEP can be used to treat women who do not meet the criteria for ablative treatment. This would increase the treatment coverage of women with VIA-positive lesions and improve program efficiency. |
| File Format | HTM / HTML |
| ISSN | 00207292 |
| Issue Number | 2 |
| Volume Number | 125 |
| e-ISSN | 18793479 |
| Journal | International Journal of Gynecology & Obstetrics |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2014-05-01 |
| Publisher Place | Ireland |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Research Support, Non-u.s. Gov't Uterine Cervical Neoplasms Prospective Studies Comparative Study Humans Middle Aged Discipline Obstetrics Instrumentation Journal Article Patient Satisfaction Patient Selection Operative Time Acetic Acid Surgery Early Detection Of Cancer Adult Female Diagnosis Nigeria Electrocoagulation Adverse Effects Cryosurgery Indicators And Reagents Pilot Projects Developing Countries Discipline Gynecology Cervical Intraepithelial Neoplasia |
| Content Type | Text |
| Resource Type | Article |
| Subject | Obstetrics and Gynecology |
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