Laser vs. Cold Knife Conization: A Community Hospital Experience

1987 ◽  
Vol 3 (2) ◽  
pp. 99-105 ◽  
Author(s):  
JAMES G. BLYTHE
Keyword(s):  
Community Hospital ◽  
Hospital Experience ◽  
Cold Knife ◽  
Cold Knife Conization

Appendicitis in the Absence of Leukocytosis; A Community Hospital Experience

2014 ◽  
Vol 186 (2) ◽  
pp. 496
Author(s):  
M. Perez ◽  
T. Galbreath ◽  
J.J. Tucker ◽  
T. Bell ◽  
R. Grim ◽  
...  
Keyword(s):  
Community Hospital ◽  
Hospital Experience

Necessity for subsequent surgery in women of child-bearing age with positive margins after cold knife conization: A retrospective cohort study

2021 ◽  
Author(s):  
Xinmei Wang ◽  
Juan Xu ◽  
Yang Gao ◽  
Pengpeng Qu
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
High Grade ◽  
Transformation Zone ◽  
Positive Margins ◽  
Child Bearing ◽  
Significant Difference ◽  
Cold Knife ◽  
Cold Knife Conization ◽  
Residual Lesions

Abstract Background: Risk factors for positive margins and residual lesions after cold knife conization (CKC) for high-grade cervical intraepithelial neoplasias (CIN) were assessed in women of child-bearing age. A design for postoperative management and avoiding these situations is offered.Methods: This was a retrospective study on 1,309 premenopausal women with high-grade CIN (including CIN3 and CIN2) based on a cervical biopsy under colposcopy used to diagnose a positive or negative margin. Age, gravidity, parity, HPV species, cytology, transformation zone type, results of endocervical curettage (ECC), quadrant involvement, glandular involvement, and CIN grade were analyzed. Among those with positive margins, 245 underwent surgery within three months, including CKC, a loop electrosurgical excision procedure, and total hysterectomy. Residual lesions were also assessed.Results: There was no significant difference in age, gravidity, parity, glandular involvement, and CIN grade between the two groups (P>0.3). There was a significant difference in HPV species, cytology, ECC results, and quadrant involvement (P<0.002). Multivariate analysis showed a major cytology abnormality, high-risk HPV infection, type III transformation zone, positive ECC result, and multiple quadrant involvement were independent risk factors for positive margins and residual lesions (P<0.02). Age >35 years was also a risk factor (P<0.03).Conclusion: High-risk women should be treated appropriately considering fertility. Patients with positive margins should be managed uniquely. Surgery for women without fertility may be appropriate. Close follow-up is necessary for women who have fertility requirements or are unwilling to undergo subsequent surgery if they have no risk factors, especially for women <35 years.

Acute Dissecting Aortic Aneurysm: Community Hospital Experience in 20 Cases

1990 ◽  
Vol 83 (7) ◽  
pp. 797-799
Author(s):  
BAKR I. SALEM ◽  
KENNETH SELKE ◽  
SIDDHESH GOWDA ◽  
MAGED HAIKAL ◽  
CORDIE COORDES ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Community Hospital ◽  
Hospital Experience ◽  
Dissecting Aortic Aneurysm

Cytologic diagnosis of prostatic carcinoma by fine-needle aspiration biopsy Community hospital experience

Urology ◽  
1988 ◽  
Vol 31 (3) ◽  
pp. 255-259 ◽  
Author(s):  
Stephen W. Dejter ◽  
Nicholas L. Constantinople ◽  
John F. Bresette ◽  
Ian J. Spence ◽  
Cheryl M. Reichert
Keyword(s):  
Fine Needle Aspiration ◽  
Prostatic Carcinoma ◽  
Fine Needle Aspiration Biopsy ◽  
Community Hospital ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Cytologic Diagnosis ◽  
Fine Needle ◽  
Hospital Experience ◽  
Needle Aspiration Biopsy

Bloodless technique of cold knife conization (ring biopsy)

1960 ◽  
Vol 79 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Joseph W. Scott ◽  
William B. Welch ◽  
Thomas F. Blake
Keyword(s):  
Cold Knife ◽  
Cold Knife Conization
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