A uterine cervix supporting device (Con-CapTM) for reducing canal stenosis after Loop Electrosurgical Excisional Procedure1

Ji Young Park, Yoon Hee Lee, Gun Oh Chong, Dae Gy Hong
In: Technology and Health Care · 2021 · vol. 29(5) , pp. 955–962 · doi:10.3233/thc-202639 · PMID:33843706 · W3142993547
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A uterine cervix supporting device (Con-CapTM) successfully maintained the diameter of the cervical canal and reduced stenosis following Loop Electrosurgical Excisional Procedure in 78 women.

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Abstract

BACGROUND: Cervical stenoses are one of the main long-term consequences after conization of the uterine cervix. OBJECTIVE: The purpose of this study was to evaluate the safety and efficacy of a uterine cervix supporting device (Con-CapTM) in reducing uterine cervical stenosis after Loop Electrosurgical Excisional Procedure (LEEP). METHODS: We enrolled 112 patients who underwent LEEP between March 2017 to May 2019. Con-CapTM was inserted into the uterine endocervical canal for 4 weeks after LEEP. Laboratory values and clinical symptoms were evaluated. The presence of uterine cervical narrowing was determined at 2 weeks after removal of the Con-CapTM. Data were analyzed using the two-sample t test and χ2 test. RESULTS: A total of 78 women completed the 6-week study period. Thirty-four patients did not complete the study period. The diameter of the uterine cervical canal was significantly greater at postoperative 6 weeks than preoperatively (Hegar dilator No, 2.10 ± 0.56 vs. 3.21 ± 0.71, P< 0.01). The complications were acceptable. CONCLUSIONS: Con-CapTM can be used to reduce uterine cervical stenosis safely and effectively after conization of uterine cervix.

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