A Randomized Study Comparing Suture with Non‐Suture Cold‐Knife Conization

Objective: To compare the short‐term outcome of cold‐knife conization between suture and non‐suture (with Monsel's solution pack) methods. Methods: Between February, 1990 and March, 1992, 142 patients underwent cold‐knife conization were randomly allocated into 2 groups. The hemostasis was done by suture in one group and by Monsel's solution pack without suture in the other group. The patients' and cone specimens' characteristics as well as short‐term outcome were recorded and compared using Chi‐square test, Fisher exact test and t‐ test where appropriate. Results: The patients' characteristics, cone size, and histologic diagnosis of both groups were comparable. The non‐suture group had shorter operative time (10.69 ± 7.86 vs. 20.04 ± 6.99 minutes) and lesser late hemorrhage (2.9 vs. 15.9%) than the suture group (p < 0.05). There was no statistical difference in the operative blood loss. Conclusion: The non‐suture method of conization should replace the traditional suture method