Journal of Gynecology and Obstetrics

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Management of Precancerous Lesions of the Uterine Cervix by Loop Electrosurgical Resection at the Bogodogo University Hospital: Eight Months of Activity Report

Received: 13 November 2023    Accepted: 4 December 2023    Published: 11 December 2023
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Abstract

Background: Cervical cancer is a real public health problem, especially in developing countries, with a very high mortality rate due to a very weak screening system. Objective: To review eight months of management of precancerous lesions of the uterine cervix using loop electrosurgical resection (LEEP) at the Bogodogo University Hospital (CHU-B) in Ouagadougou. Methodology: This was a descriptive cross-sectional study. It was conducted in the precancerous lesion screening unit of the CHU-B in Ouagadougou. Patients with large lesions on visual examination and/or cytology, not eligible for cryotherapy, underwent LEEP from 7 May 2021 to 30 January 2022, a period of 8 months. The variables studied included the results of the cervical examination, clinical manifestations during treatment, histological results of the specimens and elements of the post-operative surveillance of the beneficiaries. The data were entered on a microcomputer and the graphs were produced using Excel, Word and Epi-info software. Results: In 8 months 23 days, 237 cases of precancerous lesions had been detected. LEEP of these lesions was performed in 54.85% of cases. LEEP was indicated in the majority of cases (38.5%) for large lesions. Patients presented signs and/or symptoms during the operation in 53.1% of cases. Post-operative complications occurred in 63.8% of cases. Healing was complete in 96.9% of cases. Conclusion: The management of precancerous cervical lesions by LEEP is effective at CHU-B in Ouagadougou. It is an advantageous and effective therapeutic method for the treatment of low-grade and high-grade precancerous lesions. Promoting this technique and training staff in its use will make an effective contribution to the fight against cervical cancer in Burkina Faso.

DOI 10.11648/j.jgo.20231106.19
Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 6, November 2023)
Page(s) 174-179
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Precancerous Lesions, Cervix, Loop Resection, Ouagadougou

References
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[2] Alliance for cervical cancer prevention (ACCP). Cervical cancer prevention-Aide - mémoire. Visual screening methods: promising alternatives. April 2003, 2p.
[3] Baldauf JJ, Ritter J, Cuenin C, M Dreyfus, Elmokaddam Y, Walter P. The therapeutic results of conization with diathermic. Contraception, Fertility, Sexuality 1999; 27(21): 140-46.
[4] Brun JL, Youbi A, Hocke C. Complications, sequelae and fate of the cervix treated by conisation: evaluation using 3 surgical techniques. Gynecol Obstet Biol Reprod Journal2002; 31(6): 558-64.
[5] D'halluin G. Laser treatment of the cervix. Charente gynaecological and breast surgery. Accessed 06/05/2015. Available at URL: http://www.chirurgie-gynecologie.fr/page-chirurgie-gyn/laser-col.html.
[6] Shirley-E, Greenberg. LEEP" treatment (electrosurgical excision with diathermic loop); Riverside campus, July 2005, 9p.
[7] Leroy JL, Boman F. Vers un dépistage optimal des cancers et pré cancers du cerv uterin par frottis cervicaux. La Presse Médicale 2003, 32p.
[8] Lewis KDC, Sellors JW, Dawa A. Report on a cryotherapy service for women with cervical intraepithelial neoplasia in a district hospital in Western Kenya. Afr Health Sci. 2011; 11(3): 370-76.
[9] Martin-Hirsch PP, Paraskevaidis E, Bryant A, Dickinson HO, Keep SL. Surgery for cervical intraepithelial neoplasia, Cochrane Data base Syst Rev. 2013; (6): CD001318.
[10] Millogo FT, Akotionga M, Lankoande J. Screening for cervical cancer in a health district (Burkina Faso) by biopsy of volunteers after application of acetic acid and lugol. Bull Soc PatholExot2004; 97: 138p.
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[13] NdouaCC, Tebeu PM, Kemfang JD, Kasia JM. Evaluation of outcomes after treatment of cervical intraepithelial lesions with cryotherapy: a preliminary study at the Centre Hospitalier Universitaire de Yaoundé: About 21 cases. Pan African Medical Journal 2015; 20(1): 10p.
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[15] Ouédraogo F. Screening and management by cryotherapy of precancerous cervical lesions at the CHU-YO. Thesis of Medicine n°71, University of Ouagadougou, year 2012, 96p.
[16] Schiavone S. Pregnancy after conization: cross-sectional study of obstetric consequences of conization on pregnancy performed at the Maternité Régionale Universitaire de Nancy between 2002 and 2010. Thesis in Medicine, April 2011, 126 p.
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[18] Vinatier D. Diathermic loop conization. Elsevier Masson SAS, Paris, December 2009, 28(4): 273-76.
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    Adama, O., Samira, A., Yobi Alexi, S., Sibraogo, K., Issa, O., et al. (2023). Management of Precancerous Lesions of the Uterine Cervix by Loop Electrosurgical Resection at the Bogodogo University Hospital: Eight Months of Activity Report. Journal of Gynecology and Obstetrics, 11(6), 174-179. https://doi.org/10.11648/j.jgo.20231106.19

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    ACS Style

    Adama, O.; Samira, A.; Yobi Alexi, S.; Sibraogo, K.; Issa, O., et al. Management of Precancerous Lesions of the Uterine Cervix by Loop Electrosurgical Resection at the Bogodogo University Hospital: Eight Months of Activity Report. J. Gynecol. Obstet. 2023, 11(6), 174-179. doi: 10.11648/j.jgo.20231106.19

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    AMA Style

    Adama O, Samira A, Yobi Alexi S, Sibraogo K, Issa O, et al. Management of Precancerous Lesions of the Uterine Cervix by Loop Electrosurgical Resection at the Bogodogo University Hospital: Eight Months of Activity Report. J Gynecol Obstet. 2023;11(6):174-179. doi: 10.11648/j.jgo.20231106.19

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  • @article{10.11648/j.jgo.20231106.19,
      author = {Ouattara Adama and Akadiri Samira and Sawadogo Yobi Alexi and Kiemtore Sibraogo and Ouedraogo Issa and Ouedraogo Charlemagne Marie},
      title = {Management of Precancerous Lesions of the Uterine Cervix by Loop Electrosurgical Resection at the Bogodogo University Hospital: Eight Months of Activity Report},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {6},
      pages = {174-179},
      doi = {10.11648/j.jgo.20231106.19},
      url = {https://doi.org/10.11648/j.jgo.20231106.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.19},
      abstract = {Background: Cervical cancer is a real public health problem, especially in developing countries, with a very high mortality rate due to a very weak screening system. Objective: To review eight months of management of precancerous lesions of the uterine cervix using loop electrosurgical resection (LEEP) at the Bogodogo University Hospital (CHU-B) in Ouagadougou. Methodology: This was a descriptive cross-sectional study. It was conducted in the precancerous lesion screening unit of the CHU-B in Ouagadougou. Patients with large lesions on visual examination and/or cytology, not eligible for cryotherapy, underwent LEEP from 7 May 2021 to 30 January 2022, a period of 8 months. The variables studied included the results of the cervical examination, clinical manifestations during treatment, histological results of the specimens and elements of the post-operative surveillance of the beneficiaries. The data were entered on a microcomputer and the graphs were produced using Excel, Word and Epi-info software. Results: In 8 months 23 days, 237 cases of precancerous lesions had been detected. LEEP of these lesions was performed in 54.85% of cases. LEEP was indicated in the majority of cases (38.5%) for large lesions. Patients presented signs and/or symptoms during the operation in 53.1% of cases. Post-operative complications occurred in 63.8% of cases. Healing was complete in 96.9% of cases. Conclusion: The management of precancerous cervical lesions by LEEP is effective at CHU-B in Ouagadougou. It is an advantageous and effective therapeutic method for the treatment of low-grade and high-grade precancerous lesions. Promoting this technique and training staff in its use will make an effective contribution to the fight against cervical cancer in Burkina Faso.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Management of Precancerous Lesions of the Uterine Cervix by Loop Electrosurgical Resection at the Bogodogo University Hospital: Eight Months of Activity Report
    AU  - Ouattara Adama
    AU  - Akadiri Samira
    AU  - Sawadogo Yobi Alexi
    AU  - Kiemtore Sibraogo
    AU  - Ouedraogo Issa
    AU  - Ouedraogo Charlemagne Marie
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    DO  - 10.11648/j.jgo.20231106.19
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    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    EP  - 179
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231106.19
    AB  - Background: Cervical cancer is a real public health problem, especially in developing countries, with a very high mortality rate due to a very weak screening system. Objective: To review eight months of management of precancerous lesions of the uterine cervix using loop electrosurgical resection (LEEP) at the Bogodogo University Hospital (CHU-B) in Ouagadougou. Methodology: This was a descriptive cross-sectional study. It was conducted in the precancerous lesion screening unit of the CHU-B in Ouagadougou. Patients with large lesions on visual examination and/or cytology, not eligible for cryotherapy, underwent LEEP from 7 May 2021 to 30 January 2022, a period of 8 months. The variables studied included the results of the cervical examination, clinical manifestations during treatment, histological results of the specimens and elements of the post-operative surveillance of the beneficiaries. The data were entered on a microcomputer and the graphs were produced using Excel, Word and Epi-info software. Results: In 8 months 23 days, 237 cases of precancerous lesions had been detected. LEEP of these lesions was performed in 54.85% of cases. LEEP was indicated in the majority of cases (38.5%) for large lesions. Patients presented signs and/or symptoms during the operation in 53.1% of cases. Post-operative complications occurred in 63.8% of cases. Healing was complete in 96.9% of cases. Conclusion: The management of precancerous cervical lesions by LEEP is effective at CHU-B in Ouagadougou. It is an advantageous and effective therapeutic method for the treatment of low-grade and high-grade precancerous lesions. Promoting this technique and training staff in its use will make an effective contribution to the fight against cervical cancer in Burkina Faso.
    
    VL  - 11
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Author Information
  • Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso

  • Department of Gynecology-Obstetrics, Center of Gynecology-Obstetrics of the Hospital of Suka, Ouagadougou, Burkina Faso

  • Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso

  • Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso

  • Ouahigouya Regional University, Ouahigouya Regional Hospital, Ouahigouya, Burkina Faso

  • Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso

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