Contextualization of the Study of Residual Lesions in Conized Patients

Heenry Luis Davila Gomez; Lidia Esther Lorie Sierra; Zaskia Matos Rodriguez

doi:doi:10.11648/j.ass.20210902.14

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Contextualization of the Study of Residual Lesions in Conized Patients

Heenry Luis Davila Gomez, Lidia Esther Lorie Sierra, Zaskia Matos Rodriguez

Published in Advances in Surgical Sciences (Volume 9, Issue 2)

Received: 13 May 2021 Accepted: 31 May 2021 Published: 12 October 2021

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Abstract

In the last years, it is evidenced of more remarkable way, an increment of the incidence of the cervical cancer and their lesions precursors in young patients. Conization, as an excisional method, is recommended in the treatment of high-grade epithelial lesions, as well as in the microinvasive stage of cervical cancer when satisfied parity has not yet been achieved. In Clinical Medicine, finding a balance between therapeutic effectiveness and iatrogenic intervention by exaggerated treatments is a challenge, a current scenario in which the probability of the appearance of residual lesions after conization is framed. Although factors related with the biggest probability of appearance of residual lesions are described in patient conizadas, models that demonstrate the interrelation between these variables don't exist; most of the studies are limited to the individual analysis of these factors. The current scientific evidences allow to state that the appearance of post-cone residual lesions is a multifactorial phenomenon dependent on elements related to the nature of the lesion, the surgical technique and the competence of the surgeon; even several of these predictive elements are interrelated in the same patient. The knowledge of these predictors factors of residual lesion, starting from the pattern of the three dimensions, allows to trace clinical and formative strategies of intervention.

Published in	Advances in Surgical Sciences (Volume 9, Issue 2)
DOI	10.11648/j.ass.20210902.14
Page(s)	28-32
Creative Commons	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), 2021. Published by Science Publishing Group

Keywords

Conization, Residual Injury, Predictive Factors

References

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[2]	Merlos Gutiérrez AL, Vargas Espinosa JM, González González G, Martínez García M, Sereno Coló JA. Recurrence of cervical intraepithelial lesion in patients after cone resection with diathermic loop. Ginecol Obstet Mex 2016; 84 (2): 95-104.
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[4]	Bermejo W, Vadallares R, Arnais L. Behavior of Conization by Radiosurgery in the Treatment of Preneoplastic Cervical Lesions. Electronic Magazine Medical Archive of Camagüey 2007; 11 (3) [Internet]: http://www.amc.sld.cu/amc/2007/V11n32007/2205.htm] cited July 20, 2008.
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[8]	Arbyn M, Redman CH, Verdoodt F, Kyrgiou M, Tzafetas M, Ghaem Maghami S, et al. Incomplete excision of cervical precancer as a predictor of treatment failure: a systematic review and meta-analysis. Lancet Oncol 2017; 18: 1665–79.
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APA Style

Heenry Luis Davila Gomez, Lidia Esther Lorie Sierra, Zaskia Matos Rodriguez. (2021). Contextualization of the Study of Residual Lesions in Conized Patients. Advances in Surgical Sciences, 9(2), 28-32. https://doi.org/10.11648/j.ass.20210902.14

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ACS Style

Heenry Luis Davila Gomez; Lidia Esther Lorie Sierra; Zaskia Matos Rodriguez. Contextualization of the Study of Residual Lesions in Conized Patients. Adv. Surg. Sci. 2021, 9(2), 28-32. doi: 10.11648/j.ass.20210902.14

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AMA Style

Heenry Luis Davila Gomez, Lidia Esther Lorie Sierra, Zaskia Matos Rodriguez. Contextualization of the Study of Residual Lesions in Conized Patients. Adv Surg Sci. 2021;9(2):28-32. doi: 10.11648/j.ass.20210902.14

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@article{10.11648/j.ass.20210902.14,
  author = {Heenry Luis Davila Gomez and Lidia Esther Lorie Sierra and Zaskia Matos Rodriguez},
  title = {Contextualization of the Study of Residual Lesions in Conized Patients},
  journal = {Advances in Surgical Sciences},
  volume = {9},
  number = {2},
  pages = {28-32},
  doi = {10.11648/j.ass.20210902.14},
  url = {https://doi.org/10.11648/j.ass.20210902.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20210902.14},
  abstract = {In the last years, it is evidenced of more remarkable way, an increment of the incidence of the cervical cancer and their lesions precursors in young patients. Conization, as an excisional method, is recommended in the treatment of high-grade epithelial lesions, as well as in the microinvasive stage of cervical cancer when satisfied parity has not yet been achieved. In Clinical Medicine, finding a balance between therapeutic effectiveness and iatrogenic intervention by exaggerated treatments is a challenge, a current scenario in which the probability of the appearance of residual lesions after conization is framed. Although factors related with the biggest probability of appearance of residual lesions are described in patient conizadas, models that demonstrate the interrelation between these variables don't exist; most of the studies are limited to the individual analysis of these factors. The current scientific evidences allow to state that the appearance of post-cone residual lesions is a multifactorial phenomenon dependent on elements related to the nature of the lesion, the surgical technique and the competence of the surgeon; even several of these predictive elements are interrelated in the same patient. The knowledge of these predictors factors of residual lesion, starting from the pattern of the three dimensions, allows to trace clinical and formative strategies of intervention.},
 year = {2021}
}

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TY  - JOUR
T1  - Contextualization of the Study of Residual Lesions in Conized Patients
AU  - Heenry Luis Davila Gomez
AU  - Lidia Esther Lorie Sierra
AU  - Zaskia Matos Rodriguez
Y1  - 2021/10/12
PY  - 2021
N1  - https://doi.org/10.11648/j.ass.20210902.14
DO  - 10.11648/j.ass.20210902.14
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 28
EP  - 32
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20210902.14
AB  - In the last years, it is evidenced of more remarkable way, an increment of the incidence of the cervical cancer and their lesions precursors in young patients. Conization, as an excisional method, is recommended in the treatment of high-grade epithelial lesions, as well as in the microinvasive stage of cervical cancer when satisfied parity has not yet been achieved. In Clinical Medicine, finding a balance between therapeutic effectiveness and iatrogenic intervention by exaggerated treatments is a challenge, a current scenario in which the probability of the appearance of residual lesions after conization is framed. Although factors related with the biggest probability of appearance of residual lesions are described in patient conizadas, models that demonstrate the interrelation between these variables don't exist; most of the studies are limited to the individual analysis of these factors. The current scientific evidences allow to state that the appearance of post-cone residual lesions is a multifactorial phenomenon dependent on elements related to the nature of the lesion, the surgical technique and the competence of the surgeon; even several of these predictive elements are interrelated in the same patient. The knowledge of these predictors factors of residual lesion, starting from the pattern of the three dimensions, allows to trace clinical and formative strategies of intervention.
VL  - 9
IS  - 2
ER  -

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Author Information

Heenry Luis Davila Gomez

Hospital "Heroes’ Baire", Isle of Youth, Cuba
Lidia Esther Lorie Sierra

Hospital "Aghostino Neto", Guantanamo, Cuba
Zaskia Matos Rodriguez

Hospital "Heroes’ Baire", Isle of Youth, Cuba

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Plain Text BibTeX RIS

APA Style

Heenry Luis Davila Gomez, Lidia Esther Lorie Sierra, Zaskia Matos Rodriguez. (2021). Contextualization of the Study of Residual Lesions in Conized Patients. Advances in Surgical Sciences, 9(2), 28-32. https://doi.org/10.11648/j.ass.20210902.14

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ACS Style

Heenry Luis Davila Gomez; Lidia Esther Lorie Sierra; Zaskia Matos Rodriguez. Contextualization of the Study of Residual Lesions in Conized Patients. Adv. Surg. Sci. 2021, 9(2), 28-32. doi: 10.11648/j.ass.20210902.14

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AMA Style

Heenry Luis Davila Gomez, Lidia Esther Lorie Sierra, Zaskia Matos Rodriguez. Contextualization of the Study of Residual Lesions in Conized Patients. Adv Surg Sci. 2021;9(2):28-32. doi: 10.11648/j.ass.20210902.14

Copy | Download

@article{10.11648/j.ass.20210902.14,
  author = {Heenry Luis Davila Gomez and Lidia Esther Lorie Sierra and Zaskia Matos Rodriguez},
  title = {Contextualization of the Study of Residual Lesions in Conized Patients},
  journal = {Advances in Surgical Sciences},
  volume = {9},
  number = {2},
  pages = {28-32},
  doi = {10.11648/j.ass.20210902.14},
  url = {https://doi.org/10.11648/j.ass.20210902.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20210902.14},
  abstract = {In the last years, it is evidenced of more remarkable way, an increment of the incidence of the cervical cancer and their lesions precursors in young patients. Conization, as an excisional method, is recommended in the treatment of high-grade epithelial lesions, as well as in the microinvasive stage of cervical cancer when satisfied parity has not yet been achieved. In Clinical Medicine, finding a balance between therapeutic effectiveness and iatrogenic intervention by exaggerated treatments is a challenge, a current scenario in which the probability of the appearance of residual lesions after conization is framed. Although factors related with the biggest probability of appearance of residual lesions are described in patient conizadas, models that demonstrate the interrelation between these variables don't exist; most of the studies are limited to the individual analysis of these factors. The current scientific evidences allow to state that the appearance of post-cone residual lesions is a multifactorial phenomenon dependent on elements related to the nature of the lesion, the surgical technique and the competence of the surgeon; even several of these predictive elements are interrelated in the same patient. The knowledge of these predictors factors of residual lesion, starting from the pattern of the three dimensions, allows to trace clinical and formative strategies of intervention.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Contextualization of the Study of Residual Lesions in Conized Patients
AU  - Heenry Luis Davila Gomez
AU  - Lidia Esther Lorie Sierra
AU  - Zaskia Matos Rodriguez
Y1  - 2021/10/12
PY  - 2021
N1  - https://doi.org/10.11648/j.ass.20210902.14
DO  - 10.11648/j.ass.20210902.14
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 28
EP  - 32
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20210902.14
AB  - In the last years, it is evidenced of more remarkable way, an increment of the incidence of the cervical cancer and their lesions precursors in young patients. Conization, as an excisional method, is recommended in the treatment of high-grade epithelial lesions, as well as in the microinvasive stage of cervical cancer when satisfied parity has not yet been achieved. In Clinical Medicine, finding a balance between therapeutic effectiveness and iatrogenic intervention by exaggerated treatments is a challenge, a current scenario in which the probability of the appearance of residual lesions after conization is framed. Although factors related with the biggest probability of appearance of residual lesions are described in patient conizadas, models that demonstrate the interrelation between these variables don't exist; most of the studies are limited to the individual analysis of these factors. The current scientific evidences allow to state that the appearance of post-cone residual lesions is a multifactorial phenomenon dependent on elements related to the nature of the lesion, the surgical technique and the competence of the surgeon; even several of these predictive elements are interrelated in the same patient. The knowledge of these predictors factors of residual lesion, starting from the pattern of the three dimensions, allows to trace clinical and formative strategies of intervention.
VL  - 9
IS  - 2
ER  -

Copy | Download