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Title: DARKROOM TECHNIQUE OF COLPOSCOPY: A NOVEL APPROACH
e-poster Number: EP 069
Category: Gynaecologic Oncology
Author Name: Dr. Anupama Bhute-Anand
Institute: Datta Meghe Medical College & Nelson Hospital
Co-Author Name:
Abstract :
In order to eradicate cervical cancer by 2030, the WHO established a worldwide strategy. Achieving this goal requires effective cervical cancer screening. In women with abnormal initial screening test results, a colposcopy examination is a crucial first step in diagnosis and treatment of pre-invasive lesions. For effective screen, triage, and treat approach, point-of-care techniques are imperative. We developed a portable mobile aided point of care colposcope with darkroom and modified technique of colposcopy for effective screening. Aim: This study aims to demonstrate darkroom technique of colposcopy by newly developed portable colposcope and compare cervical images captured with conventional colposcope. Method: A low-cost portable indigenous digital colposcope was designed and a prototype was made. 148 women between 25 and 65 years, fulfilling the inclusion criteria who voluntarily consent enrolled for the study. Colposcopy was performed using a conventional colposcope and low-cost Portable Colposcope. Images captured by both colposcopes were compared by reviewer blinded to the device used. Images were compared in terms of clarity of images, sharpness of images, exposure of cervix, and white glare on cervix. Results: Low-cost indigenous digital portable colposcope ensured better visibility of the cervix than the conventional colposcope with a mean score of 9.14?0.66 as compared to 7.66?0.96 of the conventional colposcope. Low-cost indigenous digital portable colposcope showed better image clarity than conventional colposcope with mean scores of 9.48?0.416 and 7.01?0.820 respectively. Conclusion: With these findings we conclude that our newly developed low-cost indigenous digital portable colposcope is comparable with conventional colposcopes and has a potential to replace conventional colposcopes also replace VIA/VILI in low resource settings to overcome burden of delayed disease diagnosis.