Title: Loop Electrosurgical Excision Procedure: A Case Series of 31patients
Authors: Douzi Najoua, Errarhay Sanaa, Bouchikhi Chahrazad, Banani Abdelaziz
Volume: 8
Issue: 8
Pages: 99-105
Publication Date: 2024/08/28
Abstract:
The number of patients with cervical intraepithelial neoplasm (CIN) has been increasing in recent years. The management of the CIN can be done by destructive therapy or by excisional procedures. Our study's aim was to evaluate the advantages, effectiveness, safety and possibility of follow-up after Loop Electrosurgical Excision Procedure (LEEP). The retrospective study of thirty one cases of LEEP was conducted in the department of Gynecology and obstetrics I, University Hospital Hassan II, Fez between 2016 and 2020. The average age was 47, 9 years over an age range between 29 years and 70 years. The most frequent reason for consultation is dominated by vaginal bleeding. In our study, conization is performed in patients whose cervico-vaginal smear result was dominated by high-grade lesions in 38, 7% of cases. Colposcopy biopsies showed CIN2 in 48,3% of cases. All our patients had undergone colposcopy. The colposcopy pictures corresponded to major changes in 90, 32% of cases. Histological study of the conization specimens showed CIN1 in 54,8% of cases. The only recorded complication is bleeding in 2 patients.