지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 87 - 91 (5page)
이용수
초록· 키워드
오류제보하기
Objective: The aim of this study was to investigate factors preventing delayed hemorrhage after the loop electrosurgical excisional procedure (LEEP).
Methods: Medical records of patients who underwent LEEP at one university affiliated hospital from October 2013 to January 2015 were reviewed. Patients with or without delayed hemorrhage were classified. LEEP was performed either in an operating room under general anesthesia or in a procedure room with local anesthesia in the outpatient clinic. Delayed hemorrhage was defined as excisional site bleeding occurring between 1 and 30 days after the LEEP requiring intervention such as electro-cauterization, gauze packing, or application of another hemostatic agent.
Results: During the study period, 369 patients underwent LEEP. Twenty-three (6.2%) patients with delayed hemorrhage returned to our hospital either to the outpatient clinic or to the emergency unit. A third of the population (103, 27.9%) underwent LEEP in the operating room under general anesthesia without injection of local anesthesia. The remaining patients (266, 72.1%) underwent LEEP with local anesthesia (lidocaine HCl 2% with epinephrine 1:100,000) in the office procedure room. Patients given local anesthesia including epinephrine had significantly lower delayed hemorrhage compared to patients with general anesthesia without injection of local anesthesia (P=0.001). Hemostats, such as fibrin glue or patch, were used for the majority of patients (346, 93.8%) during the procedure. However, using hemostats was not statistically associated with delayed hemorrhage (P=0.163).
Conclusion: Local anesthesia with the powerful vasoconstrictor epinephrine is effective not only to control perioperative bleeding, but also to prevent delayed hemorrhage after LEEP.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Ferlay J / 2009 / GLOBOCAN 2009:cancer incidence, mortality, and prevalence worldwide / IARC Press
Guntupalli SR / 2014 / Glass office gynecology / Lippincott Williams & Wilkins : 83 ~ 84
Leiman G / 1980 / Pregnancy following conization of the cervix: complications related to cone size / Am J Obstet Gynecol 136 : 14 ~ 18
Luesley D / 1992 / Haemorrhagic morbidity after diathermy loop excision: effect of multiple pre-treatment variables including time of treatment in relation to menstruation /
Luesley DM / 1985 / Complications of cone biopsy related to the dimensions of the cone and the influence of prior colposcopic assessment / Br J Obstet Gynaecol 92 : 158 ~ 164
Guntupalli SR / 2014 / Glass office gynecology / Lippincott Williams & Wilkins : 83 ~ 84
Leiman G / 1980 / Pregnancy following conization of the cervix: complications related to cone size / Am J Obstet Gynecol 136 : 14 ~ 18
Luesley D / 1992 / Haemorrhagic morbidity after diathermy loop excision: effect of multiple pre-treatment variables including time of treatment in relation to menstruation /
Luesley DM / 1985 / Complications of cone biopsy related to the dimensions of the cone and the influence of prior colposcopic assessment / Br J Obstet Gynaecol 92 : 158 ~ 164
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Efficacy of loop electrosurgical excision procedure with cold coagulation for treating cervical intraepithelial neoplasia: A two center cohort study
Obstetrics & Gynecology Science
2017 .01
-
Effect of Loop Electrosurgical Excision Procedure on Sexual Dysfunction in Korean Women
Journal of Korean Medical Science
2023 .05
-
LEEP시술 절단면에 병변이 잔존하는 자궁경부상피내종양(CIN) 한의학적 치험 4례
동의생리병리학회지
2020 .06
-
Application of HPV DNA Testing in Follow-up after Loop Electrosurgical Excision Procedures in Northern Thailand
Asian Pacific journal of cancer prevention : APJCP
2015 .01
-
Hemoperitoneum: a complication of loop electrosurgical excision procedure
Obstetrics & Gynecology Science
2019 .01
-
Development of Submacular Hemorrhage in Neovascular Age-related Macular Degeneration: Influence on Visual Prognosis in a Clinical Setting
Korean Journal of Ophthalmology
2018 .01
-
An idiopathic delayed maxillary hemorrhage after orthognathic surgery with Le Fort I osteotomy: a case report
대한구강악안면외과학회지
2019 .01
-
Comparison of Two Step LEEP and Cold Conisation For Cervical Intraepithelial Lesions to Decrease Positive Surgical Margins
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
Post-Loop Electrosurgical Excision Procedure Complications in Srinagarind Hospital
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
Imaging of Intracranial Hemorrhage
대한뇌졸중학회지
2017 .01
-
Clinical Features and Prognosis of Sudden Sensorineural Hearing Loss Secondary to Intralabyrinthine Hemorrhage
Journal of Audiology & Otology
2016 .01
-
Overview of Postpartum Hemorrhage Project
Women's Health Nursing
2019 .01
-
현장검안 시 외상성 머리안출혈 진단을 위한 근적외선 분광분석기의 유용성에 대한 고찰
대한법의학회지
2020 .01
-
The type of electrosurgical injury that may occur during the use of electrosurgical devices and the use of non-adhesive pads as a way to prevent
대한임상종양학회 학술대회지
2021 .06
-
Delayed Consecutive Contralateral Thalamic Hemorrhage after Spontaneous Thalamic Hemorrhage
Journal of Cerebrovascular and Endovascular Neurosurgery
2016 .01
-
Safety And Feasibility of Delayed Angioembolization in Stable Torso Hemorrhage Patients
대한외과학회 학술대회 초록집
2020 .11
-
Spinal Subarachnoid Hemorrhage Migrated from Traumatic Intracranial Subarachnoid Hemorrhage
Korean Journal of Neurotrauma
2016 .01
-
Post-treatment intracranial hemorrhage of brain metastases from hepatocellular carcinoma
Radiation oncology journal : ROJ
2015 .01
-
Animal. Modeling. For traumatic brain hemorrhage
한국실험동물학회 학술발표대회 논문집
2019 .07
-
Efficacy of Multidisciplinary Clinical Pathway for the Management of Postpartum Hemorrhage
Perinatology
2019 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0