Головна > Cervical conization (LEEP)

Cervical conization (LEEP)

Conization biopsy is performed as a diagnostic as well as a therapeutic procedure. It is performed in case of formation of atypical cells on the cervix, which is characteristic of dysplasia. Conization is necessary in case of dysplasia, as this disease can develop into cervical cancer.

Remember that cervical cancer is the second most common type of cancer that kills women. Pathological phenomena on the cervix can be removed by the gentle method of loop conization (LEEP). This method is good because the biopsy tissue is not damaged. This allows you to get reliable results.

The name conization comes from the nature of the intervention performed on the cervix. The material to be tied is shaped like a cone.

LEEP

is short for Loop Electrosurgical Excision Procedure - a loop electrosurgical removal procedure

Показання до проведення:

histological confirmation of stage II-III dysplasia - to detect cervical cancer;
Pap test results indicating the presence of atypical cells;
a questionable colposcopy result is the presence of a problem area on the cervical epithelium that extends into the cervical canal;
cysts and other non-malignant tumors;
cervical lesions with human papillomavirus, leukoplakia.

The procedure is not recommended in the presence of infections of the uterus, vagina, appendages and confirmed cervical cancer.

Benefits of cervical conization

allows you to get an accurate result on the presence of precancerous changes;
facilitates the treatment of cancer in the early diagnosis of tumors;
the speed of the procedure is within 15 minutes;
low cost of surgical intervention;
accurate excision, short recovery period;
absence of scarring changes after a laser or radio wave procedure;
performing the manipulation in the laboratory after anesthesia;
the radio wave procedure does not cause tissue burns.

Preparation and/or course of the procedure

The patient should take a comfortable position on the gynecological chair.
The doctor inserts a mirror into the vagina. It should not have any metal parts.
For the convenience of the procedure, discharge is removed from the vagina.
The cervix is treated with a tampon with Lugol's solution to stain areas with pathological epithelium.
When the tampon is removed, colposcopy is performed.
For anesthesia, the doctor gives an injection of anesthetic.
Removal of a part of the cervix and cervical canal to a depth of up to 8 mm with the help of an electrode loop.
Extraction of the excised part of the epithelium with forceps.
Sending a suspicious tissue section for histology.
Coagulation of the damaged surface to stop bleeding.

When is it best to perform taper?

The procedure should be performed a few days after the end of menstruation. This allows the wound surface to heal and ensures that the patient is not pregnant.

After tissue sampling, a woman should not have intimate relations for a month. It is also forbidden to go to the bathhouse, take a bath, or take a douche. Doctors forbid lifting weights, playing sports, using tampons, and taking aspirin.

Features and interesting facts

In medical practice, three types of cervical conization are used: knife, laser, and loop. The last manipulation - loop electroconservation - is the most popular method of treating precancerous changes in the cervical epithelium.

After conization, a woman can become pregnant and bear a healthy child. For a successful delivery process, you should follow the doctor's recommendations in the postoperative period, after conization, during pregnancy planning and during gestation.

Pap test is a cytological smear to detect precancerous and cancerous cells on the cervix.
You need to undergo a test every year to prevent the development of malignant tumors.
Obtaining a cervical cone allows doctors to assess the structure of tissues, including the cervical canal, which is difficult to do with a conventional visual examination.
Important: after the procedure, you need to undergo a control examination (in two weeks, a month).

All procedures

Women:

Diseases:

Pregnancy management and preimplantation diagnostics

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