LEEP (Loop Electrosurgical Excision Procedure) and LLETZ (Large Loop Excision of the Transformation Zone) are surgical procedures used for the management of abnormal pap smears. The abnormal tissue is removed by an electrified wire using radio frequency cutting current. The wire cuts as well as cauterizes (stops the bleeding). The risks are small and the treatment results are excellent.
Since the procedure is easily accomplished and of minimal discomfort it is safely performed in the office setting. Ibuprofen or a similar medication to relax the uterus may be given prior to the procedure. Lidocaine, a Novocaine type anesthetic, is administered locally prior to the procedure, along with epinephrine to prevent bleeding. The epinephrine may give you a flushed feeling and a slightly faster heartbeat. Monsel's Solution (ferrous subsulfate) paste may be used to control the bleeding.
Patients can expect mild bleeding for 1-3 days. The maximum discharge is in the first hours, tapering to light pink during the 2-4 weeks after the procedure. Rarely does bleeding require suturing.
Abstain from intercourse, tampons and douching for 2 weeks unless otherwise instructed. Healing is complete by 2-4 weeks depending on the depth. During the procedure, a grounding pad is attached to the patient. The specimen excised is sent to pathology for examination.
Prior to LEEP:
Remember - a yearly pap smear can help prevent cervical cancer!
DO NOT TAKE ANY ASPIRIN (ACETYLSALICYLIC ACID, ASA) FOR 48 HOURS BEFORE OR FOR 4 WEEKS AFTER LEEP (USE TYLENOL OR ADVIL).
739 Irving Avenue - Suite 530 Syracuse, NY 13210 Tel: 315-478-1158 - Fax: 315-478-3014
site developed by laurieferger.com