Loop extrosurgical excision procedure or LEEP which is also sometimes shout big closed circuit excision of the transformation zone ( LLETZ ) or eyelet excision is a operation . In this procedure , a small electrical wired loop is used to remove tissue cubicle from a woman ’s low venereal part ( this includes both the cervix and the vagina ) . The electrical energy flow through the wire make it to fire up up and enable it to make for similar to a operating surgeon ’s tongue . The tissue cells that are cut during the procedure are intact and undamaged , which makes it a preferable pick when compared to other destructive operation . In accession , it is also associated with a low cost and fewer side outcome .
What are The Possible Reasons For You To Undergo a LEEP?
Your health care provider may advocate a LEEP if there is any abnormality detected in your lower genital tract . Either this abnormality could be detected during a routine Pap stain or it could be a finding from a cervical biopsy .
In cases where there is a suspected abnormality , LEEP is used a diagnostic shaft to obtain tissue paper samples from the cervix or vagina . These samples are then send for biopsy to substantiate the presence of cancer . In some display case , LEEP may reveal the front of precancerous cells ( cells abnormal but not cancerous ) , which could be an early indicator of cancer growing .
In subject where there is ratification of abnormal tissue growth , LEEP can be used to treat the precondition by removing the unnatural tissue cellular telephone and allowing tidy cells to grow back in their post .
What Takes Place During the LEEP?
At your LEEP appointment , you will be asked to divest from the shank down and lie on the test tabular array the way you would for a pelvic test . Your health care supplier will use speculum to open up up your vagina and disclose your cervix . He may then use a colposcope ( an tool like a microscope ) and direct it at the opening of your vagina to better see the home tissues . The vagina and cervix may be douse using either an iodine or a vinegar solution as these cause the abnormal cell to alter colour and these are then easier to identify . The doc will then use a local anesthetic , so you do not experience pain during the procedure . The LEEP wire will be enclose through the speculum into the vagina and pierced through the unnatural tissues . At this fourth dimension , you may experience a slight pressure that resemble a cramp . The electric flow from the wire will seal off the cut blood vessels and so stop the bleeding . The tissue specimens collected can then be sent for biopsy .
How Long Does It take to do a LEEP?
The meter taken for a LEEP depends on why the procedure is being done in the first office . If it is done as a diagnostic aid , it will typically take between a few minutes up to 10 minutes . This is because the dick involve only slit a level of your tissues to send for biopsy .
Now in cases where the LEEP is used for handling of an abnormal tissue increment , the continuance may be longer . The total duration calculate on amount and location of tissue paper that needs to be get rid of and skill of the healthcare provider . So depending upon sizing and shape of the wire , it may take more than one attempt to get rid of all the unnatural tissue and it may take up to 20 minutes or foresightful .
This routine is generally regarded as safe , but there are patient role who end up acquire complication such as narrowing of their cervix , difficultness during childbirth , excessive haemorrhage etc . Therefore , it is advisable for the affected role to talk to their healthcare supplier to understand why they should undergo LEEP and if there are other substitute options that can be considered .
