Large loop excision of the transformation zone (LLETZ) Flashcards
1
Q
What is a LLETZ?
A
Use a small wire diathermy to cut away affected cervical tissue and seal the wound (examine cuttings for CIN
2
Q
What are the indications of a LLETZ?
A
o High grade squamous intraepithelial lesion of the cervix (CIN 2 and 3)
o Persistent low-grade squamous intraepithelial lesion of the cervix (CIN 1)
3
Q
What are the complications of a LLETZ?
A
o General = infection, bleeding, failure, damage to local structures (i.e. uterus lining, bladder)
§ Risk of recurrence up to 10%
o Bleeding, discharge for 3-4 weeks (avoid tampons, sex, swimming until discharge has stopped to avoid infection)
