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. Author manuscript; available in PMC: 2014 Sep 22.
Published in final edited form as: Cochrane Database Syst Rev. 2010 Jun 16;(6):CD001318. doi: 10.1002/14651858.CD001318.pub2
Methods RCT
Participants 240 women with CIN 1,2,3.
All procedures were done as in-patients
Mean age in the trial was 32.5 years (SD=8 years).
There were 9 (3.75%) women with CIN 1, 71 (30%) with CIN 2, 152 (63%) with CIN 3, 6 (2.5%) women had stage Ia cervical cancer and 2 (0.75%) women had negative histology
Interventions Knife conisation: wound was sutured with two semicircular sutures (Vicryl, Ethicon, Edinburgh, UK), thus reconstructing the cervix
LLETZ: performed using an Elektrotom 400 unit (Brechtold, Tuttlingen, Germany) with loop devices ranging in size from 10 to 20mm. The procedure was performed using a blended current with the cut frequency set at 40 W and the coagulation frequency set between 20 and 40 W
Outcomes Completeness of excision (endo/ectocervial disease involvement)
Adequate colposcopy rates after treatment
Primary haemorrhage
Notes 120 randomised to Knife cone
120 randomised to LLETZ
Risk of bias
Item Authors’ judgement Description
Adequate sequence generation? Unclear Not reported
Allocation concealment? Unclear Not reported
Blinding?
All outcomes
Unclear Not reported
Incomplete outcome data addressed?
All outcomes
Yes % of women analysed: 120/120 (100%)
Free of selective reporting? Unclear Insufficient information to permit judgement
Free of other bias? Unclear Insufficient information to assess whether an important risk of bias exists