Pre-Course: Loop Electrosurgical Excision Procedure (LEEP)
08:00 AM - 12:00 PM
The Loop Electrosurgical Excision Procedure (LEEP) course best serves licensed healthcare professionals who have an intermediate to advanced level of medical knowledge and colposcopic practice. The course is designed for those who have previously taken a basic colposcopy course and/or have completed a colposcopy rotation in residency or training, and now desire the opportunity for in-depth learning in LEEP. Ideal for those interested in offering a wider range of treatment to the women in their communities, the LEEP course will provide vital information on electrosurgical physics and safety, procedure techniques, and the necessary equipment and supplies. After successfully completing the course, participants are expected to partake in a hands-on mentored performance training as required for credentialing in new procedures by their home institutions, as this course alone will not prepare participants for independent practice. Participants will likely be those who have a sufficient patient volume to ensure that LEEP skills, once mastered, will be maintained.
Educational objectives
Upon completion of this live educational activity, participants should be able to:
- Apply the physics and electrosurgical principles of loop excision, especially as they relate to equipment safety;
- Implement the criteria for appropriate triage of women to LEEP;
- Identify the equipment and supplies needed to perform LEEP;
- Recognize potential complications—both immediate and delayed—and how to manage them;
- Explain the follow-up of women after LEEP;
- Perform loop excision on inanimate models with sufficient skill to perform procedures under mentorship but not independently;
- Assess practice populations to identify adolescent, middle reproductive age, and postmenopausal women appropriate for LEEP treatment;
- Adopt standardized guidelines on the treatment of women with cervical intraepithelial neoplasia;
- Analyze practice experience to perform improvement activities; and
- Advocate for quality patient care and assist patients through system complexities.
Course Level: Intermediate to Advanced
Course Director: Christine Conageski, MD
Speakers: Rajal Patel, MD & Alan Waxman, MD, MPH
08:00 AM - 08:05 AM
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Welcome and Opening Remarks
Christine Conageski, MD
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08:05 AM - 08:35 AM |
Review of 2013 ASCCP Guidelines for Management of Abnormal Cytology and Histology for which LEEP is Recommended
Rajal Patel, MD
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08:35 AM - 09:05 AM |
Physics and Electrosurgical Principles of Electrosurgical Loop Excision
Alan Waxman, MD, MPH
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09:05 AM - 09:30 AM |
Selection of Patients and Procedure Description
Christine Conageski, MD
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09:30 AM - 09:45 AM |
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09:45 AM - 10:10 AM |
Comparison of Treatments: Ablation, LEEP and Cold Knife Conization Rajal Patel, MD
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10:10 AM - 10:25 AM |
The Post-LEEP Cervix
Alan Waxman, MD, MPH
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10:25 AM - 10:40 AM |
Questions & Answers
All Speakers
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10:40 AM - 11:20 AM |
Breakout Session A: Equipment and Supplies
Christine Conageski, MD
- Electrosurgical Generators
- Smoke Evacuators
- Electrodes
- Procedure Video
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11:20 AM - 12:00 PM |
Breakout Session B: LEEP Practicum - Preliminary Essentials
Rajal Patel, MD & Alan Waxman, MD, MPH
- Hands-On Simulated Procedure Practice
- Documentation and Informed Consent
- Technique of Injection of Local Anesthesia
- Simple and Top-Hat Excisions
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12:00 PM |
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