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

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Résumé

<i>Background:</i> 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. <i>Objective:</i> 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. <i>Methodology:</i> 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. <i>Results:</i> 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. <i>Conclusion:</i> 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.

Mots-clés

Resection, Loop electrosurgical excision procedure, Medicine, Cervix, Electrosurgery, Gynecology, University hospital, Uterine cervix, General surgery, Surgery, Colposcopy, Carcinoma, Internal medicine, Cancer, Cervical cancer