Mayo stand and back table instruments for LEEP with cone biopsy of cervix surgery setup

Clamping & Occluding

• 

  Allis Forceps

• 

  Kelly Forceps

Grasping & Holding

• 

  Adair Tenaculum Forceps

Misc

• 

  Hank Uterine Dilator

• 

  Uterine Sound

Retracting & Exposing

• 

  Auvard Vaginal Speculum

• 

  Jackson Vaginal Retractor

What to expect during LEEP with cone biopsy of cervix

A LEEP (loop electrosurgical excision procedure) is one of the most common procedures used to treat cervical dysplasia, which is when abnormal (precancerous) cells are found within or around a woman’s cervix.

A LEEP takes maybe 10-20 minutes.

Step 1: Visualization of the cervix.
The surgeon will insert a speculum into the vagina to view the cervix. A retractor may be placed above to help visualize, as well. A diluted acid or iodine solution may be applied to the cervix to make the abnormal cells turn white so they are more visible.
Step 2: Cervix numbing.
The surgeon will use a small needle to inject the numbing medication.
Step 3: Abnormal cervical cell removal.
A wire loop of the surgeon’s choice is attached to the cautery in place of the regular cautery to cut away the abnormal cells and send for biopsy.
Step 4: Hemostasis.
After the abnormal cells are removed, the surgeon will make sure all bleeding is controlled/stopped. The loop will be removed and replaced with the normal cautery tip and the surgeon will cauterize the cervix to stop any bleeding and prevent any further bleeding.
Step 5: Speculum removal.
The speculum will be removed and the abnormal tissue will be sent to the lab for testing.

Our surgeon used sutures to mark the specimens.