Loop Electrosurgical Excision Procedure

WHAT YOU SHOULD KNOW:

Loop Electrosurgical Excision Procedure (Inpatient Care) Care Guide

A loop electrosurgical excision procedure (LEEP) is used to remove abnormal tissue from your cervix or vagina. Your cervix is the opening of your uterus. Your caregiver will use a small wire loop that is heated by an electrical current to remove the tissue.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • During the procedure, the wire loop may burn or tear part of your vagina. You may have bleeding or an infection after the procedure.

  • Without the procedure, you may not know what is causing your medical condition. Your symptoms may become worse, and it may lead to cancer.

WHILE YOU ARE HERE:

Before your procedure:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Medicine may be given to decrease pain.

During your procedure:

  • Caregivers will ask you to urinate before the procedure. They will ask you to lie on a table and place your legs in stirrups. Your caregiver will insert a speculum into your vagina to widen and hold open your vagina so he can see your cervix. He will also place a scope at the opening of your vagina to help find abnormal tissue. He will also swab the tissue with acetic acid (vinegar) or iodine dye to help him see the abnormal tissue better.

  • Your caregiver will inject your cervix or vagina with medicine to numb the area. He will use forceps to hold the cervix steady during the procedure. He will insert a wire loop through your vagina to remove abnormal tissue and stop any bleeding. Tissue samples will be collected and sent to a lab for testing. He will wash the area with iodine or a saline (salt water) solution and apply medicine to decrease bleeding. You will then be given a sanitary pad to wear.

After your procedure:

Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room.

  • You may need to walk around the same day of the procedure, or the day after. Movement will help prevent blood clots. You may also be given exercises to do in bed. Do not get out of bed on your own until your caregiver says you can. Talk to caregivers before you get up the first time. They may need to help you stand up safely. When you are able to get up on your own, sit or lie down right away if you feel weak or dizzy. Then press the call light button to let caregivers know you need help.

  • Medicines:

    • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

    • Antibiotics help prevent infection caused by bacteria.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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