WI Moreland OB-GYN Loop Electrosurgical Excision Procedure (LEEP) Consent Form 2013-2026 free printable template

Loop Electrosurgical Excision Procedure (KEEP) Consent Form I have been informed that during the course of the procedure, unanticipated conditions may occur which may extend the procedure or prevent

How to fill out WI Moreland OB-GYN Loop Electrosurgical Excision

How to fill out loop electrosurgical excision procedure:

1. Prepare the patient by explaining the procedure and obtaining informed consent.
2. Position the patient on the gynecological examination table and ensure proper access to the cervix.
3. Cleanse the cervix and vagina with an antiseptic solution.
4. Administer local anesthesia to the cervix using a syringe and needle.
5. Insert a speculum into the vagina to visualize the cervix clearly.
6. Identify the area of abnormal tissue on the cervix using colposcopy or other diagnostic tools.
7. Insert the loop electrosurgical excision device into the cervix and target the abnormal tissue.
8. Apply electrical current through the loop to excise the abnormal tissue.
9. Perform hemostasis to control bleeding, if necessary.
10. Remove the loop electrosurgical excision device and inspect the cervix for any remaining abnormal tissue.
11. Apply topical medication or solution to promote healing and prevent infection.
12. Discuss post-procedure care and provide necessary instructions to the patient.
13. Schedule a follow-up appointment to monitor the patient's recovery and address any concerns.

Who needs loop electrosurgical excision procedure:

1. Women who have abnormal pap smear results indicating the presence of cervical abnormalities, such as dysplasia or precancerous cells.
2. Individuals with positive human papillomavirus (HPV) test results and abnormal cervical tissue changes.
3. Patients with persistent or recurring abnormal cervical lesions that require further evaluation and treatment.

People Also Ask about

What are the instructions for a LEEP procedure?

Refrain from vigorous physical activity for 7 to 10 days. This includes heavy lifting and aerobic exercising. Introduce nothing into the vagina (no sex, no douching, and no tampons) until after your follow up examination, which is roughly two to three weeks after your surgery.

What are patient instructions for LEEP?

You may be instructed not to douche, use tampons, or have sex for 4 weeks after LEEP, or for a period of time recommended by your healthcare provider. You may also have other limits on your activity, including no strenuous activity or heavy lifting.

Can I drive myself home after a LEEP procedure?

You will be able to drive yourself home after this procedure. You may bring someone to drive you if you would like. You may experience cramping. You can take an over-the-counter (OTC) pain reliever like Advil or Tylenol.

Do I still have HPV after a LEEP?

Results: LEEP can effectively eliminate HPV infection. Most patients cleared HPV infection within six months.

Is LEEP procedure considered surgery?

What is a LEEP (loop electrosurgical excision procedure)? LEEP is a procedure in which the care team uses a thin wire loop that's heated by an electric current to remove abnormal tissue. The wire loop comes in different sizes and acts as a surgical knife, cutting away at the abnormal tissue.

What are the restrictions after a LEEP procedure?

Most women can resume their normal activities after one to three days. However, the doctor may advise the patient to not have sex, take baths, douche or use tampons for about two to four weeks after the LEEP. The patient may also need to avoid strenuous activities and heavy lifting for a period of time.

Can you eat or drink before a LEEP procedure?

You may eat or drink as you normally do. Take a bath or shower before you come in for your procedure. You may want to take a pain reliever, such as ibuprofen (Advil or Motrin), 30 to 60 minutes before you have the procedure.

How long do you have to be off work after a LEEP procedure?

You can go back to work or school 1 or 2 days after your procedure. Take acetaminophen (Tylenol®) or ibuprofen (Advil®, Motrin®) if you have any discomfort.

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What is loop electrosurgical excision procedure?

The loop electrosurgical excision procedure (LEEP) is a medical procedure used to remove abnormal tissues from the cervix using a thin wire loop that conducts electricity. It is commonly performed to treat cervical dysplasia or precancerous lesions.

Who is required to file loop electrosurgical excision procedure?

Healthcare providers, specifically gynecologists or specialists performing the procedure, are typically required to file documentation or claims for loop electrosurgical excision procedures for insurance purposes.

How to fill out loop electrosurgical excision procedure?

To fill out documentation for a loop electrosurgical excision procedure, providers must include patient demographics, details of the procedure, diagnosis codes, the reason for the procedure, and any relevant surgical findings or follow-up care instructions.

What is the purpose of loop electrosurgical excision procedure?

The primary purpose of the loop electrosurgical excision procedure is to diagnose and treat abnormal cervical cells that may lead to cervical cancer, providing a way to obtain tissue samples for further examination.

What information must be reported on loop electrosurgical excision procedure?

The information that must be reported includes the patient’s identification, procedure date, type of procedure performed, indications for surgery, findings, any complications, and follow-up plans.