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Doctor insights on: Cervical Conization Using Loop Electrosurgical Excision Procedure

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What is the definition or description of: cervical biopsy using loop electrosurgical excision procedure?

What is the definition or description of: cervical biopsy using loop electrosurgical excision procedure?

LEEP: The loop electrosurgical excision procedure (leep) is currently one of the most commonly used approaches to treat high grade cervical dysplasia (cin ii/iii, hgsil) discovered on colposcopic ...Read more

Dr. Paul Nowicki
12 doctors shared insights

Cone Biopsy Of Cervix (Definition)

While the patient is under anesthesia (asleep) the doctor cuts out a small (outside) cone shaped portion of the cervix that has abnormal/ pre cancerous or cancerous skin and deeper tissue . It can treat cervical dysplasia ( pre cancer of the cervix) or diagnose cervical cancer. It is rarely enough ...Read more


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Will the needle or i.V. Hurt during the loop electrosurgical excision procedure?

Will the needle or i.V. Hurt during the loop electrosurgical excision procedure?

Minimal: There is very little pain with a leep procedure. I do them in my office using a paracervical block which requires an injection on each side of the cervix. Most of my patients do not feel that injection. If I do the leep in the operating room, those patients have an I.V. Which does require a neele stick for its placement - still only a needle stick - minimal pain. ...Read more

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Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Depends: The answer to this question really depends on her diagnosis. I assume she has some sort of problem with her pap smear. Usually cervical issues, those conditions found in a pap test, dont require hysterectomy. The leep can be both diagnostic and treat most conditions involving her cervix, but she should consult her doctor as to why either procedure should be done. ...Read more

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Is laser surgery expensive to removal moles with insurance?

Is laser surgery expensive to removal moles with insurance?

It depends...: If your doctor is a contracted member of your insurance plan, and your deductible and co-insurance level is reasonable, the cost should be nominal. Ask your doctor's office staff the check your benefits and provide you with an out-of-pocket estimate. This should be pretty close to your exact cost. ...Read more

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Need cervical surgery C5/6, ACDF with bone graft. Is plage implant best for this procedure?

Need cervical surgery C5/6, ACDF with bone graft. Is plage implant best for this procedure?

Yes: Increases fusion rates which are already excellent, equivalent alternative is auto graft hip bone and six weeks in collar allograft donor bone with plate and limited post op immobilization has yielded excellent results for decades . benefits: no second surgical site and no immobilization can be achieved with cervical disc replacement as well sucess rate for relief if arm pain well documented ...Read more

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Can pathology show false positive for dysplasia if benign Nevus previously disturbed via laser ablation/cosmetic attempted removal?

Can pathology show false positive for dysplasia if benign Nevus previously disturbed via laser ablation/cosmetic attempted removal?

Deramtopathologist: You need a very well trained dermtopathologist to determine the true cellular components of the dysplasia..tt can easily confused with M.Mealnoma in situ... ...Read more

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Who is minimally invasive heart surgery performed on?

Who is minimally invasive heart surgery performed on?

Depends : Test would be done to determine if you’re a candidate for minimally invasive heart surgery. Some deciding factors may include medical history, age, type of heart disease and lifestyle. Generally, someone who has had heart surgery prior would not be a candidate. Some surgeries include ASD and PFO repairs, removal of tumors, valve, bypass and a-fib surgeries. ...Read more

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Is the second loop laparoscopy for ovarian cancer routinely performed?

Is the second loop laparoscopy for ovarian cancer routinely performed?

Not common: If a cystic lesion of ovary has been noted, its size is carefully managed as to >5cm . A solitary lesion removed laparoscopically and proven benign ends exploration. If malignant then a hysterectomy also indicated. If there is evidence of intraperitoneal spread then formal lap with omentectomy and debulking of peritoneal spread performed followed by chemo. Second look of value with hyperthermia ...Read more

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Iud surgical removal failed, anyone try it with ultrasound?

Iud surgical removal failed, anyone try it with ultrasound?

Don't understand: When you say surgical, what do you mean? With a simple office hysteroscopy, it is very easy to remove an iud whose strings are otherwise inaccessible. Of course, that assumes there is an iud in place. The ultrasound would help you determine that in advance of the hysteroscopy. ...Read more

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Which procedure would be best for a endometrail ablation thermal or novasure?

Which procedure would be best for a endometrail ablation thermal or novasure?

Either one: There really is no good answer to that question. The procedures are equally effective for most women. If your uterus is larger then 8-9 cm, your physician may choose thermal ablation which may be better for larger uterine cavities. If your procedure is done in the office, my experience has been that novasure is somewhat better tolerated and certainly quicker for the patient. ...Read more

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Is a biopsy a mandatory procedure before removing fibroids?

Is a biopsy a mandatory procedure before removing fibroids?

No.: I routinely treat patient's fibroids using uterine fibroid embolization (ufe) without a biopsy. I do require an MRI to evaluate the fibroid, the rest of the uterus, and the blood supply to make sure that ufe is going to be safe and effective. ...Read more

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Is the laser procedure to remove cervical erosion painful (during the procedure itself and afterwards during intercourse)?

Is the laser procedure to remove cervical erosion painful (during the procedure itself and afterwards during intercourse)?

No: The surface of the cervix can be numb by spray or injection. This makes the procedure painless. Discomfort after is usually minimal. It does however depend on how much material is removed. Hope this helps. Best of luck ...Read more

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Dermatology after laser procedure lesion on face not healing underwent biopsy dr reported very light pre cancer?

Dermatology
after laser procedure lesion on face not healing  underwent  biopsy  dr  reported
very  light  pre cancer?

Full excision : The lesion that is not healing may be actinic keratosis which is pre cancer or mild skin cancer. It may require other forms of treatment such as complete removal physically by excision, or local chemotherapy cream. Not to worry too much if you have a dermatologist taking care of you. ...Read more

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Is a leep procedure painful?

Depends on several: parameters - is this being done in office or surgery center/OR with anesthesia, is there local anesthesia (paracervical block or otherwise), will the patient be premedicated (with something like ibuprofen/Motrin/advil or Aleve/naprosyn/naproxen), the patient's pain threshold. In general, it may be crampy during and after the procedure but should not be overly so ...Read more

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Can nanoknife ablation done as multiple percutaneous probe insertions actually known to cause an embolism? Procedure was not open surgery.

Can nanoknife ablation done as multiple percutaneous probe insertions actually known to cause an embolism? Procedure was not open surgery.

Here are some...: Nanoknife ablation is a descriptive term portraying the use of high-tech small probes to deliver the energy of freezing or radio frequency to destroy unwanted tissue or cancer; so, it is not an open surgery, but has its own limitation especially in tumor size and location. Yet, no procedure is perfect but with its own pros & cons. More? Ask treating doctors timely. ...Read more

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Is endovenous laser ablation procedure painful?

Is endovenous laser ablation procedure painful?

No: There is minor discomfort from the initial puncture and during the course of getting the vein anesthetized. There should be no pain at all when the laser is running. People have varying amounts of bruising and discomfort after the procedure. This is almost never enough to interrupt regular activities. Laser ablation is much easier (both during the procedure and recovery) than surgical procedures s. ...Read more

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Having my 3rd leep in 10 years for recurring hsil cervical polyps (1st leep was for mild). Should i be concerned? Should i look into a hysterectomy?

Having my 3rd leep in 10 years for recurring hsil cervical polyps (1st leep was for mild). Should i be concerned? Should i look into a hysterectomy?

Surgical Risk?: In general, hysterectomy is much more invasive and puts a patient at significantly greater risk than a leep. Further, hysterectomy should only be used when a leep is insufficient, i.e. Positive margins. I do understand the frustration/anxiety entailed by recurrent hsil though -- hysterectomy may be reasonable if your gyn can perform a lower risk procedure, like a laparoscopic or vaginal surgery. ...Read more

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Cervical conization risks while pregnant?

Cervical conization risks while pregnant?

Pregnancy: Miscarriage could occur if early in pregnancy. Preterm labor/delivery or cervical weakening could occur if later. Would advise discussing with a gyn oncologist and hi risk ob--if cancer risk is high that may outweigh pregnancy risks. ...Read more

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Anyone who has has cervical conization done have a fullterm baby?

Anyone who has has cervical conization done have a fullterm baby?

Pregnancy: Many women who have had cervical cones have had healthy term infants. You should have close evaluation of the length of the cervix early in 2nd trimester to determine if cervical insufficiency (weakening/shortening) has occurred. If so there are treatments available to extend your pregnancy if intervention is early. ...Read more

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Cervical conization- what can I expect? Will I be out?

Discuss with doctor : Cold knife conization is a procedure in which a cone shaped biopsy of the cervix is removed to treat cervical dysplasia. No overnight stay is required unless complications arise. You will be put under general anesthesia and the surgery lasts approximately 30 minutes. Your total recovery time varies from 1-2 weeks. The cervix, however, usually takes 4-6 weeks to heal completely. ...Read more

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Cervical conization while pregnant - do doctors do that, or is it dangerous?

Cervical conization while pregnant - do doctors do that, or is it dangerous?

Rarely: One would need to have advanced cervical dysplasia with the worry of possible invasive cervical cancer to warrant a conization during pregnancy. Complications would include excessive bleeding, infection, and loss of enough cervical tissue to risk preterm labor. In 30 years I have done two of these and none in the past 15 years. ...Read more

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What is a cervical conization?

Remove precancerous: Cervical conization is a surgery to remove a section of the cervix when there are pre-cancerous cells. This can usually be done in the office, and recovery is not too uncomfortable. Extra repeat pap smears should still be done to make sure all pre-cancerous cells are gone and don't return. Can still have kids after, but cervix can be weak or scarred, so will need special attention when pregnant. ...Read more

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What can I expect from cervical conization?

What can I expect from cervical conization?

Easy procedure: A cold cone biopsy of the cervix is a quick procedure & usually done in the or in case heavy bleeding is encountered. Either a general anesthetic, IV sedation, or a local injection can be used. I prefer a combination of the later two and my patients do very well. They rarely feel any pain & appreciate the short nap. ...Read more

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Cervical conization- what can I expect to happen?

Cervical conization- what can I expect to happen?

Easy procedure: A cold cone biopsy of the cervix is a quick procedure & usually done in the or in case heavy bleeding is encountered. Either a general anesthetic, IV sedation, or a local injection can be used. I prefer a combination of the later two and my patients do very well. They rarely feel any pain & appreciate the short nap. ...Read more

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Scheduled for a leep conization tomrrow morning, what to expect?

Scheduled for a leep conization tomrrow morning, what to expect?

Not to worry: Crampy pain during procedure if you're not under anesthesia, some bleeding after, like a period. Your doctor should also provide instructions and information in the post procedure paperwork. ...Read more

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What is a leep conization and who in nyc would be best to get a second opinion?

What is a leep conization and who in nyc would be best to get a second opinion?

Cervix biopsy: Loop electrosurgical excision procedure (leep) is a low risk way of removing dysplastic (precancerous) cells/tissue from the cervix. It's an office procedure with local anesthesia to treat high grade (cin ii or iii, cis, or hgsil) lesions seen on colposcopy. A second opinion from any gyn or gyn onc would be appropriate if needed. Your doc should be able to give you all the information you need. ...Read more

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I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus & can I give it to someone?

I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus &  can I give it to someone?

2 schools of thought: There are two schools of thought in regards to hpv. One school believes that your immune system "contains" the virus and as such you may have no symptoms. But, if things change, the virus can "temporarily escape" and you become infectious. Another school of thought is the belief that the virus can be completely iradicated from the body. I believe the first school personally. ...Read more

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I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus & can I give it to someone, can I pass it?

I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus &  can I give it to someone, can I pass it?

Depends on…: Whether conization eliminated all of virus. Was follow-up done to check for presence of more virus? If no virus present, u can't pass what doesn't exist. If any virus still present, then it can be passed. Virus can also exist in mouth, throat, anus—areas that also need to be checked. ...Read more

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Should I be worried about getting a leep (loop electrosurgical excision procedure)?

Should I be worried about getting a leep (loop electrosurgical excision procedure)?

Depends...: No with respect to the main side effect of LEEP or other cervical conization procedures, which is spontaneous miscarriage or preterm labor, assuming you are not looking to be pregnant in near future. Yes with respect to the fact that if you are having cervical dysplastic changes at age 50, the chances of it recurring in future may be higher than someone in their 30s ...Read more

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Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Depends: The answer to this question really depends on her diagnosis. I assume she has some sort of problem with her pap smear. Usually cervical issues, those conditions found in a pap test, dont require hysterectomy. The leep can be both diagnostic and treat most conditions involving her cervix, but she should consult her doctor as to why either procedure should be done. ...Read more

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Will cervix be shorter after conization?

Will cervix be shorter after conization?

Yes always: But may or may not be significant hopefully you are just getting a leep and not a cold knife cone which is worse. ...Read more

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I'm trying to have a baby. My Pap smear came back pap 4a conization. That's cervical cancer, can I still have a baby?

I'm trying to have a baby. My Pap smear came back pap 4a conization. That's cervical cancer, can I still have a baby?

Biopsy diagnosis?: Until the cervix is biopsied via Colposcopy or other means, the Pap smear diagnosis is irrelevant. We use the biopsied tissue to determine and document the diagnosis. Future pregnancy is possible if it is not invasive cervical cancer and even then eggs can be harvested from your ovaries prior to definitive surgery. ...Read more

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Good morning. I made a Conization in the cervix in 2008, because i had a carcinoma in situ. I wonder if it is safe to use tampons or menstrual cup?

Good morning. I made a Conization in the cervix in 2008, because i had a carcinoma in situ. I wonder if it is safe to use tampons or menstrual cup?

Safe, and get PAP: You should continue getting PAP smears, as recommended by your doctor. Tampons or cup is safe. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more