Comparison of the hemostatic suture with non-suture cold-knife conization methods for cervical surgery

Year 2020, , 362 - 366, 22.10.2020

Tuğba Gürbüz , Oğuz Yardımcı

https://doi.org/10.32322/jhsm.713554

Abstract

Objective: The primary purpose of this study is to compare the suture with non-suture cold-knife after conization methods.
Method: The study included 172 women who underwent the cold-knife conization.. In the first group, patients underwent cold-knife conization without sutures, and in the second group, patients underwent cold-knife conization with suture. The essential variables of this study include blood loss, duration of operation, number of pregnancies, type of childbirth, and age of the patient. The results are calculated based on t-test, Fisher exact test, chi-square, and nonparametric Mann-Whitney tests.
Result: There was no significant difference between the variables studied, including blood loss (p-value = 0.185). The only significant difference was in the duration of operation (P-value = 0.000).
Conclusion: Our findings showed that there was no significant difference between the amount of blood loss between the sutured and non-sutured groups. These results also showed that the operation duration was significantly reduced. This result was excepted since there was no need for suturing, and the other stages of the procedure were the same throughout the cold knife canonization in both groups. Due to the shorter operation duration, no difference in the amount of postoperative bleeding, and the specific risks of suture, it is suggested to use a non-suture technique for cold-knife conization.

Keywords

Cervical Intraepithelial Neoplasia, CIN, Cold-knife Conization, Cervical Surgery

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