Didactics-LEEP the basics

Video Transcription

Video Summary

The presentation focuses on the Loop Electrosurgical Excision Procedure (LEEP) for treating cervical dysplasia. Emphasizing its U.S.-centric guidelines, the talk primarily covers the LEEP technique rather than diagnostic guidelines, which can vary significantly based on available resources and patient referral difficulties. LEEP, introduced in the early 1990s, is praised for obtaining a specimen for histopathological evaluation, unlike ablation techniques. The presentation details the procedure's components, electrosurgery principles, anesthetic use, and precautions. Potential complications like bleeding, stenosis, and cervical burns are highlighted, along with discussions on managing these issues. While LEEP is associated with an increased risk of preterm birth and rare recurrences, it doesn't significantly impact fertility. The advantages of LEEP over the Cold Knife Cone method and the importance of follow-up are also discussed. Overall, LEEP is deemed highly effective and safe for outpatient treatment of high-grade dysplasia.

Asset Subtitle

Tony Ogburn
November 2024

Keywords

LEEP

cervical dysplasia

electrosurgery

complications

preterm birth

outpatient treatment