1. SBÜ KAYSERİ ERH Doç. Dr. Gökhan Açmaz
RETROSPECTIVE EVALUATION OF COLD KNİFE CONE AND LEEP OPERATIONS IN OUR CLINIC
SBÜ KAYSERİ ERH
Doç. Dr. Gökhan Açmaz

2. Introduction
Cervical cancer is the 4th most common cause of cancer-related deaths in women
470,000 new cases are recognized each year, and over 230,000 women are estimated to have lost their lives.
Cold conization and loop electrosurgical excision procedure (LEEP) are two methods used to treat high grade cervical intraepithelial neoplasms (CIN2 and CIN3)

3. Introduction
The aim of this study is to evaluate the complications of cold conization and LEEP methods those performed in our clinic.

4. Method
This retrospective study was performed in the Kayseri Education and Research Hospital of Medicine, Obstetrics and Gynecology Department between
Demographic data of patients with cold conization and LEEP and intraoperative and postoperative complications were compared.

5. Table 1. Comparison of LEEP and conization procedures intraoperatively and postoperatively.
LEEP (n=120)
Conization(n=118)
p - Value
Age
42,92
42,58
0,675
HPV positivity
85/120
82/118
0,822
Endocervical gland involvement
12/120
18/118
0,225
Surgical border positivity
10/120
13/118
0,486
Hysterectomy
2/120
3/118
0,640
Major bleeding
1/120
2/118
0,983
Major infections
0/120
0/118 NA
Organ damage
PID
0,987
Minor bleeding
27/120
35/118
0,027

6. Conclusion
LEEP and cold conization can be easily applied in the treatment of high-grade cervical precancerous lesions
These methods provide both diagnosis and treatment.
As a major complication, there is no difference between two groups
Both methods seem to be an alternative to each other in the treatment of high grade cervical precancerous lesions.