Abstract:
PURPOSE:The aim was to evaluate the use of liquid-based gel during cytologic follow-up and the effect of liquid-based gel application during speculum examination on satisfactory level of smear. METHODS:A total of 1,999 patients were taken into the study. Patients were divided into two groups as gel-applied group and control group. Age and menopausal status of patients, and the physicians taking the smear (resident or specialist) were recorded. In control group, dry speculum was used for the collection of smear sample. All specimens were evaluated for correlation of the cytopathology, the number of "unsatisfactory" samples, and any secondary diagnoses. RESULTS:Assessment of smear satisfactoriness revealed that 2.2% (43) of them were unsatisfactory. Unsatisfactory smear ratio was significantly high in gel-applied group. Screening done by residents increased unsatisfactory result risk for about 5.5 times. Evaluation of effect of menopausal status on smear adequency revealed no difference between premenopausal and postmenopausal women. CONCLUSION:Cervical smear seems to be more accurate without gel application. Experience of the physician is also important. Water-based gel can be used in some women who experience overt pain during speculum examination, but these patients must be warned about unsatisfactory results and the need of repeat test.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Köşüş A,Köşüş N,Duran M,Haltaş H,Hızlı D,Kafalı Hdoi
10.1007/s00404-011-2198-xsubject
Has Abstractpub_date
2012-06-01 00:00:00pages
1599-602issue
6eissn
0932-0067issn
1432-0711journal_volume
285pub_type
杂志文章abstract:PURPOSE:To investigate the efficacy of bupivacaine-soaked spongostan in cesarean section wound for postoperative anxiety level, satisfaction and early postpartum depression rate. METHODS:A total of 121 women, American Society of Anesthesiologists physical status I-II, scheduled to undergo general anesthesia and electi...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,随机对照试验
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journal_title:Archives of gynecology and obstetrics
pub_type: 传,历史文章,杂志文章
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