Delayed Hemorrhage: A Rare Complication of Loop Electrosurgical Excision Procedure

An article from Felber R, Patel H, Skelly A, et al., published January 31, 2024 in Cureus, discusses the potential risks of a loop electrosurgical excision procedure (LEEP). A LEEP typically treats cervical dysplasia with minor bleeding risks. However, a rare delayed hemorrhage (0.8-1.3%) can occur, requiring intervention. This case study presents a 41-year-old woman suffering severe vaginal bleeding nine days after LEEP, leading to emergency surgery and transfusion due to clopidogrel use (blood thinner). The case highlights the importance of identifying high-risk patients beforehand and providing clear postoperative instructions to recognize serious complications like delayed hemorrhage, ensuring better outcomes for LEEP procedures. Read more here.