[Prevention of obstetrical complications following LEEP, is it possible?]

Abstract

Recent epidemiological data suggest an increase of the incidence and prevalence of CIN as well as a decrease of the mean age of the patients presenting these lesions. Large loop electrosurgical procedure (LEEP) is the most commonly used treatment method. According to recent studies LEEP provides a 1.4 to 7.0 fold increase of preterm delivery. Cervical cerclage does not show efficiency in reducing this risk, even if cervical shortening is measured by transvaginal ultrasound. Considering histological severity of lesions and the age of patients, number of currently conducted conizations in France could be avoided and so their obstetrical consequences prevented, just because no treatment is necessary or could be done by ablative procedures.

Keywords: Accouchement prématuré; Cerclage; Cervix length; Conisation à l’anse diathermique; Longueur cervicale; Loop electrosurgical excision procedure; Preterm delivery.