Work

Loop Electrosurgical Excisional Procedure (LEEP) in the Management of High-Grade Cervical Dysplasia in Abidjan

Year: 2026

Type: article

Abstract: Objective: Evaluate the results of the practice of LEEP in Abidjan by reporting our experience. Patients and method: This is a retrospective descriptive cohort study carried out in a private medical clinic in Abidjan from 2020 to 2023 covering 40 patients who benefited from LEEP for high-grade cervical dysplasia. We analyzed the epidemiological and clinical parameters of the patients in order to assess the results of the procedure. Results: The average age of our patients was 37.6 years. The pap smear revealed 12.5% ASCH, 5% ASCUS, 70% HSIL and 12.5% LSIL. Colposcopy in our study revealed 87.5% TZ2. The biopsy performed revealed 2.5% CIN 2+ lesions, 47.5% CIN2 and 50% CIN3. The average duration of LEEP in our study was 18 min and the complication rate was 10%. We noted two postoperative hemorrhages and two postoperative pelvic pain resistant to usual analgesic treatment. The histopathological results after LEEP in our study showed 10% CIN1, 25% CIN2, 55% CIN3, 5% chronic cervicitis, 2.5% metaplasia and 2.5% cancer. The overall concordance rate with colposcopic biopsy was 65%. The resection was at positive endocervical margins in 12.5% of cases. LEEP was repeated in 7.5% of cases. Conclusion: LEEP is a minimally invasive, safe, effective and reproducible technique in the management of high-grade cervical dysplasia in African settings.

Source: Open Journal of Obstetrics and Gynecology

DOI: 10.4236/ojog.2026.167101