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	~~'''Loop electrical excision~~ procedure~~''' ('''LEEP'''), also known as '''large loop excision of the transformation zone''' ('''LLETZ'''), is a medical procedure used primarily~~ for ~~diagnosing and treating [[~~cervical ~~dysplasia]], a precancerous condition of the [[cervix]].~~		{{Short description\|A surgical procedure for removing abnormal cervical tissue}}

	== Overview ==		== Overview ==
	LEEP is a ~~type~~ of [[~~conization~~]]~~, a procedure that excises, or cuts away, a cone-shaped piece of the cervix~~. The procedure ~~uses~~ a thin~~, low-voltage electrified~~ wire loop to ~~cut away~~ the ~~abnormal~~ tissue. LEEP ~~has the advantage of removing the~~ abnormal ~~tissue while simultaneously cauterizing the cut~~, ~~reducing~~ the ~~risk of bleeding~~.		[[File:LEEP.png\|thumb\|right\|Diagram of the LEEP procedure]]
			The '''Loop Electrosurgical Excision Procedure''' (LEEP) is a medical technique used to remove abnormal or precancerous cells from the cervix. It is commonly employed in the treatment of cervical dysplasia, which is often detected through abnormal [[Pap smear]] results. The procedure utilizes a thin wire loop that carries an electrical current to excise the affected tissue.

			== Indications ==
			LEEP is indicated for patients with abnormal cervical cell changes, such as those identified through [[colposcopy]] and biopsy. It is particularly useful for treating high-grade squamous intraepithelial lesions (HSIL) and other precancerous conditions of the cervix.

	== Procedure ==		== Procedure ==
	The LEEP procedure is ~~usually~~ performed ~~under local anesthesia~~ in ~~a doctor's office~~. The patient is ~~placed~~ in a [[~~lithotomy position~~]] ~~and a speculum~~ is ~~inserted into the vagina~~ to ~~visualize~~ the cervix. The ~~doctor~~ then ~~applies a solution~~ to the cervix ~~that makes~~ abnormal ~~cells more visible~~. The ~~electrified wire loop~~ is ~~then used~~ to ~~cut away the~~ abnormal tissue.		The LEEP procedure is typically performed in an outpatient setting. The patient is positioned in a manner similar to a [[pelvic examination]]. A local anesthetic is applied to the cervix to minimize discomfort. The loop wire is then inserted through the [[vagina]] to the cervix, where it removes a thin layer of abnormal tissue. The excised tissue is sent to a laboratory for further pathological examination.

			== Advantages ==
			LEEP offers several advantages, including:
			* Minimal discomfort and quick recovery time
			* High success rate in removing abnormal cervical tissue
			* Ability to preserve surrounding healthy tissue

	== Risks and Complications ==		== Risks and Complications ==
	~~Like all surgical procedures~~, ~~LEEP carries some~~ risks~~. These may~~ include ~~infection, bleeding, and complications related to anesthesia. There is also a risk of~~ cervical ~~stenosis, or narrowing of the cervix, which can affect fertility.~~		While LEEP is generally safe, potential risks include:
			* Bleeding
			* Infection
			* Cervical stenosis
			* Changes in cervical mucus production

	== ~~Follow-up~~ ==		== Aftercare ==
	~~After a LEEP~~ procedure, patients are ~~usually~~ advised to avoid sexual intercourse, tampon use, and douching for ~~a period of time~~ to allow the cervix to heal. Follow-up appointments are ~~necessary~~ to ensure ~~that all~~ of ~~the~~ abnormal ~~tissue has been removed and that the cervix is healing properly~~.		Following the procedure, patients are advised to avoid [[sexual intercourse]], tampon use, and douching for several weeks to allow the cervix to heal. Follow-up appointments are crucial to monitor healing and ensure the complete removal of abnormal cells.

	== ~~See Also~~ ==		== Related pages ==
	* [[Cervical cancer]]		* [[Cervical cancer]]
			* [[Human papillomavirus]]
			* [[Pap test]]
	* [[Colposcopy]]		* [[Colposcopy]]
	* [[Cone biopsy]]
	* [[Cryotherapy]]

	[[Category:~~Medical procedures~~]]		[[Category:Gynecological surgery]]
	[[Category:~~Gynecology~~]]		[[Category:Oncology procedures]]
	~~{{medicine-stub}}~~

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2024-02-29T04:31:47Z

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'''Loop electrical excision procedure''' ('''LEEP'''), also known as '''large loop excision of the transformation zone''' ('''LLETZ'''), is a medical procedure used primarily for diagnosing and treating [[cervical dysplasia]], a precancerous condition of the [[cervix]].

== Overview ==
LEEP is a type of [[conization]], a procedure that excises, or cuts away, a cone-shaped piece of the cervix. The procedure uses a thin, low-voltage electrified wire loop to cut away the abnormal tissue. LEEP has the advantage of removing the abnormal tissue while simultaneously cauterizing the cut, reducing the risk of bleeding.

== Procedure ==
The LEEP procedure is usually performed under local anesthesia in a doctor's office. The patient is placed in a [[lithotomy position]] and a speculum is inserted into the vagina to visualize the cervix. The doctor then applies a solution to the cervix that makes abnormal cells more visible. The electrified wire loop is then used to cut away the abnormal tissue.

== Risks and Complications ==
Like all surgical procedures, LEEP carries some risks. These may include infection, bleeding, and complications related to anesthesia. There is also a risk of cervical stenosis, or narrowing of the cervix, which can affect fertility.

== Follow-up ==
After a LEEP procedure, patients are usually advised to avoid sexual intercourse, tampon use, and douching for a period of time to allow the cervix to heal. Follow-up appointments are necessary to ensure that all of the abnormal tissue has been removed and that the cervix is healing properly.

== See Also ==
* [[Cervical cancer]]
* [[Colposcopy]]
* [[Cone biopsy]]
* [[Cryotherapy]]

[[Category:Medical procedures]]
[[Category:Gynecology]]
{{medicine-stub}}

Loop electrical excision procedure - Revision history

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