What is LEEP ?

LEEP is the abbreviation for Loop Electrosurgical Excision Procedure. It means removing a ring-shaped thin layer of surface from the cervix with electrocautery. In some countries such as the UK, the abbreviation LLETZ (Large Loop Excision of the Transformation Zone) is used for the same procedure. It is also called hot conization. In the cervix of a woman with HPV, cellular changes occur over time. Such changes are detected sometimes by smear and sometimes by colposcopy. After the change is detected, the LEEP (LLETZ) procedure is performed both for a comprehensive cervical examination and the treatment of the risky area. This procedure is performed using a wire loop electrode in the form of a ring, which is attached to the end of the electrocautery device. A ring-shaped thin layer of surface is removed from the cervix in such a way as to include the transformation zone, and then it is sent for pathological examination. The advantage of this device is the very low possibility of bleeding because the cutting process is performed by burning. Even if there is bleeding, it can be stopped by burning the bleeding site with electrocautery. It is a painless procedure that can be performed in a doctor's office setting. If the patient is anxious and has difficulty during examination, the procedure can also be performed under general anesthesia.

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