Traction suture of the cervix: a novel procedure with loop electrosurgical excision.
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.
Bornstein
Jacob
J
Colposcopy Unit, Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya, Israel. mdjacob@tx.technion.ac.il
Harroch
Jeffrey
J
Morad
Ezra
E
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*