What will be done?
LLETZ stands for “Large Loop Excision of the Transformation Zone”. This procedure will remove a small segment of the cervix (the lower part of your womb or uterus). This procedure is often combined with a dilation and curettage (see information sheet).
Why is this done?
This procedure is performed for the diagnosis and management of abnormal cell growth (dysplasia). You should have a clear understanding of your reason for this surgery.
How is this done?
The procedure is may be performed under a general or a local anaesthetic. If it is to be performed under a general anaesthetic you will require day surgery admission. A drip is inserted into your arm. An examination is made under anaesthesia, the cervix is stained and the abnormal area is visualised under high magnification by an instrument called a colposcope. A fine wire loop with a special high frequency current allows for the precise removal of the abnormal tissue from the cervix. If curettage is to be performed, the cervix is dilated and the lining of the uterus (endometrium) is sampled. The procedure itself takes approximately fifteen minutes or more, but you can expect to be in theatre and recovery for a number of hours. If the procedure is to be performed under a local anaesthetic, this is injected prior to the procedure
What should I do before the procedure?
Any investigations or consultations arranged at the preoperative consultation should have been completed. You should continue your regular medications, unless advised otherwise. Stop smoking. Should you develop an illness prior to your surgery, please contact our office immediately.
What should I do on the day of the procedure?
Unless otherwise specified, you should stop eating and drinking at the following times on the day of the surgery:
You should continue all your usual medications, unless otherwise specified.
You should bring:
What should I expect after the procedure?
When you wake from the anaesthetic, you will be in the recovery room. Depending on the procedure, you should be able to leave that day. You should expect some pelvic or lower back discomfort. You may have a vaginal discharge or bleeding that will decrease over the subsequent two weeks. A light discharge may persist for up to four weeks. You will be given specific discharge medication if required, but you may use panadol or panadeine as required (one to two tablets every four hours up to a maximum of eight tablets per day).
After discharge from hospital, you should:
You should not:
What are the complications of this procedure?
Every surgical procedure has associated risks. Complications include, but are not limited to:
Any other specific risks and complications will be discussed prior to the procedure.
What if I have any problems?
You should seek medical attention if you experience:
Please contact the office on 07 3332 1999 or attend the Mater Emergency Department if you require urgent attention.