LEEP procedure is also make out as loop electrosurgical excision procedure or big loop excision of the transmutation zona ( LLETZ ) . In LEEP procedure , a low voltage current is pass through a wire to heat up it which is used to expunge and cauterise the unnatural tissue in cervical dysplasia .
Cervical canceraffects millions of women around the populace and is amongst the lead cancer in woman . It is caused byHPV(human papilloma virus ) that is found in 99 % cases of cervical cancers , so there are different modalities to prevent cervical genus Cancer . HPVvaccines are give to women up to geezerhood 26 to prevent cervical malignant neoplastic disease , also unremarkable pablum screening should startle at the geezerhood 21 for cervical prevention . If thePap smearincluding biopsy is positive for precancerous condition then dissimilar discourse modalities are used to treat them and to avoid cervical cancer . The most pop among those treatment mood is eyelet electrosurgical excision subroutine , known as LEEP routine .
LEEP is not only popular because it is simple , effective and cheap , but because it has less post routine risks and side - event which also include less endangerment with fertility rate . Thus , a woman can have a healthy baby after she has had LEEP procedure .
What is LEEP Procedure?
LEEP is a function that is used to treat precancerous conditions of cervix uteri , vulva or vagina . LEEP is done usually after an abnormal Pap smear ; it is used as a diagnostic as well as a discussion mode . It is an office process and does not take more than 30 minutes for the mop up of the function . It is done under local anesthesia and does not require any oecumenical anesthesia to do it , so it is less concerning .
The patient dwell in supine status with leg breathe in stirrups similar to a pelvic exam . A speculum is sneak in into the vagina to visualise it properly . A colposcope may also be used for better magnification and clarification of the vaginal and cervical tissue . An acetic acid and/or iodine solution is then applied to the field of concern that highlights the sphere of unnatural tissues . A low voltage electric current is used through a wire , which is inflame and then used to excise the abnormal tissue from the cervix . This might be a little uncomfortable , so local anaesthesia might be used to put under the country . The bleeding will be achieved with the cautery during the LEEP procedure and in improver a hemostatic result is use to barricade any stay on bleeding .
There might be some complications after LEEP operation that let in lowering bleeding , bother , infection of uterine cervix or uterus , scar or stricture of the cervical opening . These jeopardy are rare and only happen in 1 % of cases . There is also a concern of preterm nascency of a sister and potential 2d trimester miscarriage . However , this is rare and is only associated with removal of large part of dysplastic cervical tissue paper . The patient should weigh both the welfare and risks of the procedure before proceeding with it . It should be kept in judgment that it is the treatment of cervical dysplasia , which left untreated will head to cervical cancer .
Can You Have A Baby After a LEEP Procedure?
There have been various report that suggest womanhood receive pregnant before 12 - month time interval of LEEP are at greater risk of abortion , which is around six fold . The ones who wait for a period of 12 month or longer to get pregnant are less potential and have a reduced opportunity of stillbirth . LEEP is ; however , choose over cold tongue conization which has a greater morbidity pace .
The decision to carry forward with excision or ablative procedure depends on various factors include the procreative eld , severity of pre - genus Cancer and the decisiveness or desire to deliver minor in future .
There is limitation in studies that indicate that fertility rate of a woman is bear upon after pre - cancer treatment , although the rate of miscarriage in the second trimester did increase . There is an increased risk of preterm giving birth and this risk increase with the increased profoundness of the excision . There has also been an increase in higher pregnancy in women who have been treat with cervical pre - Cancer the Crab and have successfully given birthing to a healthy nipper .
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