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For logistic reasons, surgery (large excision) under general anesthesia was not possible.
Assuming that surgeons consider the MRI-determined measurement when planning resection, such overestimation would lead to unnecessarily large excision.
Patients who need a large excision of the cervix should be informed about the risk of preterm birth.
18– 20 Cosmetic outcomes following BCS are mainly influenced by excision volumes, with large excision volumes generally resulting in less favorable cosmetic outcomes.
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Considering births after samples that were piecemeal and those that were excised in one piece separately made the relative risk for large/very large excisions slightly smaller but still statistically significant (fig 2; supplementary table C).
Close obstetric monitoring is warranted for women who have large excisions of the cervical transformation zone.
Overall the majority of first excisional treatments at colposcopy were small (47.5 %) or medium (39.1 %), 9.5 % were large and 4.1 % were very large excisions.
The majority of first excisional treatments at colposcopy were small (47.5 %) or medium (39.1 %), 9.5 % were large and 4.1 % were very large excisions.
4 In keeping with the results from our study, almost all published studies concur that large excisions (depth greater than 15 mm) increase the risk of preterm birth.
Among women with large excisions, the risk of preterm birth was not less in those who conceived three years or more after treatment (table 5).
The absolute risks of a preterm birth were 7.5%% following small excisions, 9.6 % following medium, 15.3 % following large and 18.0 % following very large excisions (for very preterm they were 2.0%, 2.33 %, 3.6 % and 6.4 % respectively) [ 8].
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