Loop electrosurgical excision procedure in Greek patients with vaginal intraepithelial neoplasia

Eur J Gynaecol Oncol. 2010;31(4):392-4.

Abstract

Objective: The aim of our study was to evaluate the therapeutic effectiveness of the loop electrosurgical excision procedure (LEEP) in Greek patients with vaginal intraepithelial neoplasia (VAIN).

Materials and methods: Between January 2002 and January 2009, 23 women with histologically confirmed VAIN were included in our study. For the LEEP procedure we used a high frequency electrosurgery unit with at least 80 W output.

Results: Complete response rate at 12 months of follow-up was 86.96%. Recurrence rate at 12 months of follow-up was 13.04%. Complete response rate at 24 months of follow-up was 75%. Recurrence rate at 24 months of follow-up was 25%.

Conclusion: LEEP may constitute a valuable excisional method for the treatment of VAIN. It provides an interpretable specimen of the whole lesion within a few minutes. It needs a short period of training and has low cost.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma in Situ / surgery*
  • Electrosurgery / adverse effects
  • Electrosurgery / methods*
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Vaginal Neoplasms / surgery*