TITLE:
Treatment of Precancerous Lesions of the Cervix of the Uterus by Leep: Experience of the Principal Clinic of the Togolese Association of Family Well-Being Planning Center (ATBEF)
AUTHORS:
Bingo Kignomon M’bortche, Baguilane Douaguibe, Kossi Edem Logbo-Akey, Dédé Regina Ajavon, Tina Ayoko Ketevi Ketevi, Solim-Biou Djato, Francis Baramna-Bagou, Abdoul-Samadou Aboubakari, Koffi Akpadza
KEYWORDS:
Precancerous Lesions, Cervical Cancer, LEEP
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.12,
December
17,
2021
ABSTRACT: Objectives: Describe the socio-demographic characteristics, describe the main
indications for LEEP and present the main complications. Methodology: This was a cross-sectional and descriptive study with consecutive
recruitment of the study population through cervical cancer screening campaigns
throughout the country during the period July 1, 2017 to April 30, 2019.
Included were all patients eligible for LEEP and having benefited from this
therapeutic method during our study period. Data were collected from a registry
and recorded on a questionnaire developed for this study. These data were
analyzed using Epi info 3.5.1 software. The following parameters were studied:
patient age, indication for LEEP, intraoperative and postoperative
complications, histological examination of the specimens, and postoperative
surveillance and screening follow-up one year after LEEP. Results: During the study period, 12,595 women
were screened for precancerous cervical lesions. A total of 474 women had
precancerous lesions. Of these women, 227 had undergone loop resection, a rate
of 47.9%. The main indications for LEEP were extensive lesions (68.7%), lesions
penetrating the internal cervical os (12.8%). Incidents occurred in 7.5% of
patients during the procedure. Post-operative complications occurred in 14.7%
of cases. Conclusion: LEEP is a better way to treat precancerous lesions
but is not well known by medical staff. The equipment of health facilities and
the training of medical staff will make it possible to popularize the practice
throughout the country. This extension will contribute to the fight against
cervical cancer.