Success, Complications, and Subsequent Pregnancy Outcome Relative to the Depth of Laser Treatment of Cervical Intraepithelial Neoplasia

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Abstract
Over four years experience of an increasingly radical approach to the treatment of cervical intraepithelial neoplasia (CIN) with a carbon dioxide laser has demonstrated that the success rate is improved by extending the depth of vaporization to 10 mm or more. The increased success rate is obtained without any apparent increase in pain, primary or secondary hemorrhage, or pregnancy complications. Patients who have previously undergone some form of cervical surgery are a high-risk group. Because of the distortion of the topography of the transformation zone that results from surgery, colposcopic assessment and ablative treatment of these patients may well be unreliable.

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