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Re: Mission need: LEEP equipment and coloposcope From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Fri Apr 6 06:52:35 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Ob:  What would you do" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: What would you do" In reply to: Victor Vines, MD: "Mission need: LEEP equipment and coloposcope" Next in thread: Marilyn Ringstaff: "Re: Mission need: LEEP equipment and coloposcope" I could not think of a better donation by the makers of coloposcope and leep equipment, it would be the best pubilicity for the money they could get IMHO. Who pays for the PAP smears, good record keeping would be the best thing you could offer these women. If you want cheap and almost as good then consider the following article. Am J Obstet Gynecol. 2007 Apr;196(4):407.e1-8; discussion 407.e8-9. Cervical cancer prevention: safety, acceptability, and feasibility of a single-visit approach in Accra, Ghana. Blumenthal PD, Gaffikin L, Deganus S, Lewis R, Emerson M, Adadevoh S; Ghana Cervicare Group. Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. OBJECTIVE: The purpose of this study was to assess the safety and acceptability of a single-visit approach to cervical cancer prevention combining visual inspection of the cervix with acetic acid wash (VIA) and cryotherapy. STUDY DESIGN: The study was observational. Nine clinicians were trained in VIA and cryotherapy. Over 18 months 3665 women were VIA-tested. If positive and eligible, cryotherapy was offered immediately. Treated women were followed-up at 3 months and 1 year. RESULTS: The test-positive rate was 13.2%. Of those eligible, 70.2% and 21% received immediate or delayed treatment, respectively. No major complications were recorded, and 5.6% presented for a perceived problem post-cryotherapy. Among those treated over 90% expressed satisfaction with their experience, and 96% had an indentifiable squamo-columnar junction. Only 2.6% (6/232) were test positive, 1-year posttreatment. CONCLUSION: A single-visit approach using VIA and cryotherapy proved to be safe, acceptable, and feasible in an urban African setting. -- Take care, John Next message: DoctorJoe@aol.com: "Re: Ob:  What would you do" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: What would you do" In reply to: Victor Vines, MD: "Mission need: LEEP equipment and coloposcope" Next in thread: Marilyn Ringstaff: "Re: Mission need: LEEP equipment and coloposcope"

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