Atlas of Colposcopy: Principles and Practice

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Treatment by LLETZ – Avoiding injury to the vagina  

  • If the cervix and/or the lesion is large, the vaginal walls are in danger of coming into contact with the loop.
  • Push in the lateral fornix with a large cotton swab to move the cervix to one side.
  • Keep the loop in the centre of the field of view, and release the pressure on the cotton swab so that the cervix moves across the loop.
  • Put the cotton swab in the opposite fornix, pushing gradually to continue moving the cervix across the loop.

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