Effect of cough technique and cryogen gas on temperatures achieved during simulated cryotherapy

<p>Abstract</p> <p>Background</p> <p>Cryotherapy is often used to treat cervical precancer in developing countries. There are different methods and cryogen gases used for cryotherapy, including the freeze-flush-freeze (cough) technique employed to minimize gas blockage....

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Main Authors: Sellors John (Author), Jeronimo Jose (Author), Loesel Charlie (Author), Seamans Yancy (Author), Castle Philip E (Author)
Format: Book
Published: BMC, 2007-10-01T00:00:00Z.
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Summary:<p>Abstract</p> <p>Background</p> <p>Cryotherapy is often used to treat cervical precancer in developing countries. There are different methods and cryogen gases used for cryotherapy, including the freeze-flush-freeze (cough) technique employed to minimize gas blockage. However, there is limited information to compare their effectiveness.</p> <p>Methods</p> <p>Using a tissue model, we compared temperature-time curves for four cryotherapy methods: uninterrupted freezing with nitrous oxide (N<sub>2</sub>O) and carbon dioxide (CO<sub>2</sub>), and two methods using a standard and extended version of the cough technique with CO<sub>2</sub>.</p> <p>Results</p> <p>Uninterrupted freezing with both N<sub>2</sub>O and CO<sub>2 </sub>produced tissue temperatures less than -20°C (-40°C and -30°C respectively). CO<sub>2 </sub>cryotherapy procedures using the two cough techniques produced temperatures greater than -20°C in the model tissue.</p> <p>Conclusion</p> <p>CO<sub>2 </sub>cryotherapy using the cough technique may not achieve sufficiently low temperatures to produce the desired therapeutic effect. Other alternatives to the prevention of gas blockage should be developed.</p>
Item Description:10.1186/1472-6874-7-16
1472-6874