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The loop electrosurgical excision procedure (LEEP) is one of the most commonly used approaches to treat high grade cervical dysplasia (CIN II/III, HGSIL) and early stage cervical cancer discovered on colposcopic examination. In the UK, it is known as large loop excision of the transformation zone (LLETZ). It is considered a type of conization. [1]
Cervical conization refers to an excision of a cone-shaped portion of tissue from the mucous membrane of the cervix. Conization is used for diagnostic purposes as part of a biopsy and for therapeutic purposes to remove pre-cancerous cells (cervical intraepithelial neoplasia) or early stage cervical cancer. [1] Types include: [2] [3]
The loop electrical excision procedure (called LLETZ or 'large loop excision of the transformation zone' in the UK), cervical conization (or cone biopsy) and hysterectomy remove the whole area containing the abnormal cells.
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Adequate follow-up is critical to the success of this procedure. Treatments for significant lesions include ablative treatments (cryotherapy, thermocoagulation, and laser ablation) and excisional methods (loop electrosurgical excision procedure or LEEP, or Cervical conization). [citation needed]
large loop excision of the transformation zone: LLL: left lower lobe LLQ: left lower quadrant: LM: left main LMA: left mentoanterior (fetal position) laryngeal mask airway LMCA: left main coronary artery: LMD: local medical doctor: LMP: last menstrual period—first day of the menstrual period low malignant potential LMWH: low-molecular-weight ...
Moderate and severe changes are usually treated, by electrocautery, cryocautery or loop excision, with the objective of completely removing the abnormal area. Dyskaryosis can be caused through infection with human papilloma virus (HPV), which exists in a number of different strains; type 16 and type 18 cause dyskaryosis more frequently and ...
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