Experience with the Loop Electrosurgical Excision Procedure (LEEP) Technique in the Treatment of the Precancerous Lesion of the Uterine Cervix in Paholpolpayuhasena Hospital

Abstract

     Objective : To evaluate the outcomes of loop electrosurgical excision procedure (LEEP) in precancerous lesion of cervix in Paholpolpayuhasena Hospital during Oct. 2001- Dec. 2006

     Design : Descriptive study

     Material & Methods : The medical records of 55 women were reviewed. Data collection included ; base line characteristics, cytology, colposcopic findings with cervical biopsy, pathological findings from LEEP, ) post LEEP management, incomplete excision (LEEP margin involvement), residual disease ln hysterectomy post LEEP, and complication.

     Results : Pathological findings from LEEP showed HSIL 65.4% and SCC 5.4%. The prevalence of cervical LEEP margin involvement was 41.8%. Residual disease was found 85.7% of hysterectomy alter LEEP. · The complication was found only one case of vaginal bleeding one week after LEEP.

     Conclusion : The analysis support the LEEP technique as a diagnosis and treatment of the precancerous  lesion of the uterine cervix. However, incidence rate of incomplete excision and residual disease were high. In patient with margin involvement lesion, intensive follow up should be done.