title: Traction suture of the cervix: a novel procedure with loop electrosurgical excision.
abstract: BACKGROUND
  Loop electosurgical excision procedure (LEEP) of the transformation zone has become the preferred treatment of cervical intraepithelial neoplasia (CIN).
  
  
  METHODS
  An inadvertent vesicovaginal laceration occurred during LEEP of CIN2 in a 57-year-old-woman with a cystocele. We developed a traction suture of the cervix that we used during LEEP that permits manipulation of the cervix outward, away from the nearby protruding tissues.
  
  
  CONCLUSIONS
  Traction suture during LEEP may reduce inadvertent lacerations in patients with cystocele, rectocele, and other protruding tissues.
authors.affiliation: Colposcopy Unit, Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya, Israel. mdjacob@tx.technion.ac.il
authors.forename: Jacob
authors.initials: J
authors.lastname: Bornstein
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Harroch
authors.forename: Ezra
authors.initials: E
authors.lastname: Morad
mesh_terms: D004598:Electrosurgery / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010298:Parity; D013536:Suture Techniques; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014621:Vagina / Q000293:injuries*; D014950:Wounds, Penetrating / Q000209:etiology*; D002578:Uterine Cervical Dysplasia / Q000601:surgery*