LOOP Conization

Loop conization or loop electrosurgical excision procedure (LEEP) involves the use of a thin loop that removes abnormal cervical tissue with the help of low-voltage electricity. The LEEP method can be used to remove abnormal cervical tissue that is seen by colposcopy or is located high in the cervical canal and cannot be seen by colposcopy. In this situation LOOP conization is more recommended than classic conization.

If the abnormal tissue is completely removed, no further therapy is needed, but changes in the cells of the cervix may occur again.

The advantage of this method is the simplicity of the procedure, shorter operation time, the possibility of performing the intervention under local anesthesia, as well as less postoperative discomfort.

Indications

LOOP conization is performed when the result of the Pap test shows the presence of abnormal cells and when the result is confirmed by colposcopy and cervical biopsy. LOOP conization is a method used in the treatment of cervical cell changes. This includes:

- Minimal changes in the cells of the cervix or the so-called Low-grade squamous intraepithelial neoplasia (LSIL), which can represent a precancerous condition (a change in the cells of the cervix that precedes the appearance of a malignant tumor) and if such a change persists after a long period.
- Significant changes in the cells of the cervix that need to be removed.

How it is performed;

LOOP conization is most often performed in outpatient settings. The procedure is performed in the same position as for a gynecological examination. Using a speculum, the cervix is ​​visualized and after that, the tissue of the cervix is ​​taken in the shape of a cone (cup) and sent to the laboratory for analysis.

Recovery;

Most women can return to their usual activities 1-3 days after the intervention. Recovery time depends on the extent of the procedures. After LOOP coagulation there may be cramping that may last a short time after the procedure, brownish vaginal discharge during the first week (common), increased or bloody vaginal discharge or spot bleeding.

It is recommended to use sanitary napkins for up to 3 weeks after the intervention and avoid sexual intercourse for the next 3 weeks.

If you have a high temperature, severe vaginal bleeding, pain in the pelvic area, your secretions have an unpleasant smell or are yellowish, you should contact the doctor's office.