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LLETZ procedure

LLETZ Procedure Everything You Need To Know Eve Healt

Large Loop Excision of the Transformation Zone (LLETZ

  1. One of the most common treatments that women receive following diagnosis is a loop biopsy, usually called LLETZ, which stands for large loop excision of the transformation zone, or LEEP, which stands for loop electrosurgical excision procedure
  2. LLETZ treatment is generally very safe but as with all surgery there can be complications: Up to 50% of women will experience 10 days of bleeding and discharge which may be moderate to heavy Many experience pain for a day or two afterward
  3. What is a LEEP / LLETZ? LEEP is an abbreviation for loop electrosurgical excision procedure. It is also referred to as large loop excision of the transformation zone, or LLETZ. LEEP is done to treat cervical dysplasia
  4. LLETZ The most common treatment is large loop excision of the transformation zone (LLETZ)

Possible Future Procedures . If any of the follow-up tests show cervical dysplasia, a LEEP or other excisional or ablative procedure (for example, laser conization or cryosurgery, respectively) may be required. In some cases, if the abnormal cells persist, a hysterectomy may be recommended LEEP/LLETZ What is LEEP/LLETZ? LEEP is a procedure to remove abnormal tissue from your cervix. It uses a thin wire loop charged with electricity to remove the tissue. The cervix is the lower part of the uterus that opens into the vagina. The uterus is the muscular organ at the top of the vagina. Babies [ A LLETZ is where abnormal cells found on a smear are removed with a heated loop. Why do I need a LLETZ? To remove abnormal cells that are too severe to go away on their own. It's important to remove them with a LLETZ before they develop into cervical cancer

What is a LLETZ procedure? LLETZ stands for Large Loop Excision of the Transformation Zone and is a procedure to remove abnormal cells from the cervix. It is also known as LEEP. Does the LLETZ procedure hurt procedure): The following treatment will be performed: For a large loop excision (cut) of the transformation zone (LLETZ), a small piece of the cervix, previously identified as abnormal by colposcopy, is removed and the site is burnt with an electrical instrument. D. Risks and complications of LLETZ of the cervi

LLETZ Procedure Dr Amy Tang Gynaecological Oncologist

Lletz treatment advice. 30 Apr 2020 10:38 in response to Sarbr3. Hello and thanks for contacting us. You have posted in the ask the nurses section of cancer chat and you are asking for other peoples experiences of the LLETZ procedure whilst anyone is welcome to comment here you may find it useful to post in another section of the forum as well LLETZ Procedure (Large Loop Excision of the Transformation Zone of the cervix) Background. This procedure is done when your pap smear, colposcopy or biopsy has shown abnormal cells on the surface of your cervix. Treatment is usually recommended when there is a risk that the abnormal cells may progress to cancer of the cervix

LLETZ? What to expect afterwards Jo's Cervical Cancer Trus

You will find out what the procedure involves and how to take care of yourself after the procedure. What is a LEEP / LLETZ? LEEP is an abbreviation for loop electrosurgical excision procedure. It is also referred to as large loop excision of the transformation zone, or LLETZ. LEEP is done to treat cervical dysplasia Loop Electrosurgical Excision Procedure (LEEP) This procedure allows your physician to remove abnormal cell growth on the surface of the cervix and, if necessary, test it for cancer. LEEP is prescribed after the abnormal changes are confirmed by Pap tests and colposcopy. Appointments 216.444.6601

Colposcopy - Treatments - NH

LEEP is safe and effective. Still, there are some risks. These include: infection. bleeding during or after the procedure, though the tool helps seal the surrounding blood vessels to minimize this. LLETZ is usually performed in a hospital as an outpatient. The procedure takes about five minutes and is carried out under local anaesthetic. Like colposcopy, LLETZ is not usually performed if a woman has her period. Some of the women we interviewed had a colposcopy and LLETZ in the same appointment and were pleased to be treated there and then LLETZ (LEEP): How to make an informed choice. Intact Cervix was started by two women; Kate and Asha who connected online after experienced devastating side effects from the LLETZ procedure, (known as LEEP in some countries). We experienced problems with orgasm, low libido, painful sex, and loss of sense of self, and creativity

LEEP: Preparation, Recovery, Long-Term Car

  1. ation. Cone biops
  2. LEEP is an effective and safe treatment to prevent cervical cancer. The LEEP procedure side effects are usually mild. During the procedure, you may feel a little discomfort or cramping. Because numbing medicines are used, though, a lot of people don't feel anything. After LEEP, you may have mild cramping for a day or so
  3. LEEP is short for Loop Electrosurgical Excisional Procedure (LEEP) and it is also called large loop excision of the transformation zone (LLETZ). LEEP (loop electrosurgical excision procedure) is the preferred method of diagnosis and treatment of high-grade cervical intraepithelial neoplasia (CIN)
  4. introduced LLETZ (aka LEEP), the major method for treating cervical preneoplasia and is a world leader in training others to use these techniques. He currently leads the Distance Learning Project for the International Federation for Cervical Pathology and Colposcopy. Academic Degrees FRACOG 1985, Royal Australian College of Obstetrics an

LLETZ Operation. LLETZ is an acronym for Large Loop Excision of the Transformation Zone. It is an operation done to remove abnormal cells from the cervix or the neck of your womb. An electrical current is passed through a thin wire loop that acts like a scalpel which cuts away a thin layer of the cervix As we waited for the anesthetic to take effect, nurse one explained how the Lletz procedure works. She would use a small metal loop heated by an electrical current, and apply it to affected area. The LLETZ machine can be quite noisy while your treatment is being carried out. Treatment takes 5 -10 minutes. Please let us know if you feel any discomfort, as a minor adjustment to the equipment may help. A sanitary pad is provided at the end of the treatment for any discharge or bleeding. Once your treatment is finished you will b I am 15 weeks pregnant and I've been having some bleeding (dark red). I underwent a LLetz procedure late 2018 and 14 mm were removed. I read that between 10-14 mm is considered to be a medium excision

Colposcopy Digital Atlas

LEEP/LLETZ - Tufts Medical Center Community Car

  1. 16 weeks- previous LLETZ procedure. Hi all, I had severe dyskaryosis CIN grade 2 in 2019, which was removed by LLETZ Procedure and had clear smears since. I'm 16w pregnant and this flagged up at my booking in app which triggered a consultant appointment. I thought they would be scanning my cervix, however the consultant just asked me how many.
  2. ation, also known as large loop excision of the transformation zone (LLETZ). The procedure has many advantages including low cost, high success rate and ease of.
  3. . Clinical and demographic information were abstracted from the chart. Almost all procedures were performed by the same physician who adjusted the diameter of the loop for each case, most commonly 10 × 10 mm, maximum 12 mm. A top hat using a 5 × 5-mm loop was performed for every procedure. Fifty percent of patients were younger than 30 years of age, and the majority (75%) were younger than.
  4. or operation where a small piece of abnormal tissue (biopsy) is removed from the cervix for exa

A LEEP is a loop electrosurgical excision procedure, used to remove abnormal or precancerous cells from the cervix. The American Congress of Obstetricians and Gynecologists says there are a variety of procedures that are used to remove abnormal cervical cells, and LEEP involves running an electrical current through a thin wire loop to cut. LLETZ is also known as Loop Electrosurgical Excision Procedure. It is the method of removing tissues of the cervix so that doctors can treat pre-cancerous related problems in the cervix. It is the method of removing tissues of the cervix so that doctors can treat pre-cancerous related problems in the cervix A small wire loop is used to remove an area of the cervix containing the abnormal cells. It is most commonly performed using local anaesthetic and the whole procedure takes about 10 minutes. Loop diathermy excision is sometimes referred to as a LLETZ. Benefits of treatment. LLETZ is 90-95% effective in removing all the abnormal cells

LLETZ procedure • Abnormal smear • PAP smear • Glengarry

  1. LEEP stands for loop electrosurgical excision procedure. This test can help diagnose and treat cervical cancer. Learn more about its uses and what to expect here
  2. Lletz procedure : Hi Ladies, 2 years ago whilst pregnant with my son a Pap smear showed abnormal cells I was monitored throughout my pregnancy and immediately after I had the procedure to remove them. My last smear came back normal which is why I decided to try for another. I'm now 13 weeks 5 days and have heard some stories about pre term labour after the procedure and in some.
  3. LLETZ treatment is generally very safe, but, as with all surgery, there can be complications. Half of all women who have a LLETZ will experience on average 10 days of both bleeding and discharge, which could be moderate or heavy. Most women have pain for on average 2 days after this procedure. (The TOMBOLA Group 2009). Bleeding is more likely afte
  4. utes and is usually carried out as an outpatient procedure, which means you won't need to stay in hospital overnight
  5. Healing From LEEP/LLETZ has 5,742 members. This group is for anyone who has experienced long-term side effects from the LEEP/LLETZ, cone biopsy or other cervical procedures such as IUD insertion, D & C, endometrial ablation. Are you dealing with physical pain, emotional trauma, or loss of sexuality and overall wellbeing
  6. Loop electrosurgical excision procedure (LEEP). A thin wire loop that emits a low-voltage high-frequency radio wave is used to remove tissue. Large loop excision of transformation zone (LLETZ). Combined conization. A procedure started with one technique, such as the use of a laser, may be completed with another, such as a cold-knife technique

LLETZ Procedure Experience after Abnormal Cervical Smea

  1. Inclusions. A total of 648 excisional procedures were reviewed. From 2005 to 2009, 494 women had an excisional procedure performed for the treatment of CIN in the three participating departments of gynecology in Marseille, of whom 323 had a LLETZ [].In addition, 154 patients from the colposcopy clinic of the AMNCH in Dublin who had a LLETZ for CIN were reviewed []
  2. The average time to wait before having sex after a loop electrosurgical excision procedure (LEEP) is about four to six weeks. 1 Depending on how much of your cervical tissue is removed, you may need to wait a longer or shorter time before having sex. Generally speaking, the more abnormal the cervical tissue, the more time it will take the.
  3. A LLETZ can usually be performed at London Obs & Gynae Clinic however, sometimes it may be performed at a hospital.During the procedure, you will lie on your back with your feet in stirrups. Using a speculum, your doctor will open your vagina to gain access to your cervix, much like during a regular pelvic screen
  4. This is LLETZ Procedure by BSCCP on Vimeo, the home for high quality videos and the people who love them
  5. antly squamous intraepithelial neoplasia, 7 and are used as a type 2/3 excision for adenocarcinoma in situ in some units. 8 They are the most commonly used therapy for HSIL in resource-rich countries. These specimens may show variable degrees of specimen fragmentation and thermal.
  6. Procedures may vary based on your condition and your healthcare provider's practices. Generally, a colposcopy follows this process: You will need to undress completely or from the waist down and put on a hospital gown. You will empty your bladder before the procedure

Video: LLETZ Procedure — Dr Jenny Coo

Diagnosing cervical cancer Cancer Council Victori

Lletz procedure - December 2016 - BabyCenter Australia. Birth Clubs. All Birth Clubs. Groups by topic. View all groups Getting pregnant Pregnancy Baby & Toddler Local groups Family life Grief and Loss Fun & photos My baby journal My pregnancy journal. Home Community December 2016 Healing after a LLETZ or cone biopsy. Recovery after a LLETZ or cone biopsy is similar, though women who have had a general anaesthetic often feel tired for a few days or even a week or so afterwards. Everyone is different. Some of the women we interviewed who had LLETZ felt fine afterwards and went to work the next day A colposcopy is a simple procedure used to look at the cervix, the lower part of the womb at the top of the vagina. It's often done if cervical screening finds abnormal cells in your cervix.. These cells often go away on their own, but sometimes there's a risk they could eventually turn into cervical cancer if not treated. A colposcopy can confirm whether cells in your cervix are abnormal and. Description. The MedGyn ES-100, ES-200, ES-300, ES-400 Electrosurgical Generator Series meets all demands for a LEEP/ LLETZ procedure. MedGyn's Electrosurgical Generators feature both monopolar and bipolar functions to meet all your surgical demands with safety, flexibility, reliability, and convenience. Available for export only I had my leep procedure done on the 8th almost 2 weeks ago. The discharge is normal. My Dr. told me I would have brownish coffee ground looking discharge. This is from the medicine they put on your cervix to keep it from bleeding after the procedure. You might still get some bleeding. Usually if you start to soak 1 or more pads an hour call the.

Illustration Gebärmutterhals Abstrich Transformationszone

Loop electrical excision procedure - Wikipedi

The aftermath was so much worse than the procedure itself. Not being able to use my Mooncup was awful and I couldn't swim when I was away, nor could I exercise. It was a testing time! Between my broken wrist surgery and the LLETZ procedure, I was away from the gym for about six weeks which had a big impact on me loop electrosurgical excision procedure (also known as LLETZ) LLETZ. large-loop excision of the transformation zone (also known as LEEP) NAAT. nucleic acid amplification test. PEPFAR. The United States President's Emergency Plan for AIDS Relief. PICO. population (P), intervention (I), comparator (C), outcome (O) SDG

I was then told it was precancerous and had my first lletz. The results from that had shown I actually had stage 1 squamous cell and had a repeat lletz. They didnt manage to get it all, so I had a 3rd lletz under general anaesthesia. I was told it was all clear and a smear in 6 months. Fast forward to now (just over 6 months since my all clear. Loop electrosurgical excision procedure (LEEP), also known as large loop excision of the transformation zone (LLETZ), is a procedure for further diagnosis and treatment of cervical intraepithelial neoplasia (CIN).CIN lesion is an abnormal growth in the cervix Large loop excision of the transformation zone. Dr Yuranga Weerakkody et al. Large loop excision of the transformation zone (LLETZ) is a gynecological procedure. It is currently one of the most commonly used approaches to treat high grade cervical dysplasia - cervical intraepithelial neoplasia What is a LLETZ/LEEP procedure? A large loop excision of the transformation zone uses a low-voltage electrical current to remove abnormal tissues of the cervix. It is a treatment that prevents cervical cancer. LLETZ surgery may be performed after abnormal cells are found during a Pap test, colposcopy, or biopsy Information post-women's surgery LLETZ procedure Large Loop Excision of the Transformation Zone Author: NUM 6AN, WNS, RBWH Subject: Discharge information following a LLETZ procedure Keywords: LLETZ, discharge, gynaecology, large loop excision of the transformation zone, gynae Created Date: 6/15/2017 11:01:37 A

LLETZ Or LEEP is a continually identified condition since it has connections with LEEP Procedure Definition, LEEP Procedure Definition, and LEEP Procedure Emotional Side Effects. A person could reinforce the body's immune system and quite simply create resistance to an HPV infection in literally a matter of a few months, sooner than it might. LLETZ/LEEP Procedure Instruments & Equipment We know there are a number of companies selling LEEP or loop electrodes. This is a situation where the quality of these electrodes is pretty much the same from company to company The Goldstandard standard technique in conization for women with cervical dysplasia is the large loop excision of the transformation zone (LLETZ). Nevertheless other techniques such as the excision of the abnormal tissue with the so called Fischer Cone Biopsy Excisor could provide advantages and is yet not enough investigated The LLETZ Procedure. I won't say much about this as I wasn't awake! All I knew was that I was put in stirrups, had a speculum open me, they operated succesfully and removed a decent sized sample from the cells at the top of my cervix. An anaesthetist stays with you the whole time and you don't remember anything

LLETZ or Cone Biopsy of the CERVIX - Dr

Millennium Surgical can help you compare and reduce cost if you currently use any of the following vendors for LEEP LLETZ Gynecology Instruments: Compare to Gynex*, Cooper Surgical*, Sklar*, and Marina Medical*. Nonconductive Coated Instruments for LLETZ/LEEP Electrosurgical Procedures. Patients, surgeons, and staff are provided the highest. The LLETZ procedure involves inserting an electrical wire loop into the cervix, the passage at the neck of the womb. This is heated and used like a scalpel to remove an area of cells typically 1. Lletz or Leep - View-Maxi Style Lletz or Leep - Steiner 91-92065 - Steiner Speculum 5 1/2 x 1 1/4 Lletz Forceps 91-92055 Thumb Dressing Forcep 8 91-92056 Thumb Dressing Forcep 10 91-92057 Tissue Forcep 8 91-92058 Tissue Forcep 10 Lletz Lateral Retractor 91-92083 Regular 2 Spread, 10 1/2 Lengt LEEP stands for loop electrosurgical excision procedure.. It's named for the tool the doctor uses and how the tool works. It has a wire loop on the end. An electric current heats the wire.

Workstation & accessories for LEEP gynecology procedure (removal of cells from cervix). Cart, accessories, electrodes, generator, smoke evacuator A colposcopy is a simple procedure that lets your doctor get a good look at your cervix.The exam takes 5 to 10 minutes, and is a lot like getting a Pap smear.One of the biggest differences is your. Procedures Where Visualization May Be Impaired - Warning: For procedures where visualization may be impaired during the LLETZ procedure, be alert to these potential hazards: • The electrode loop or ball may remain hot enough to cause burns after the electrosurgical current is deactivated What does LLETZ treatment involve? LLETZ is a straightforward outpatient procedure, typically only taking 10-15 minutes. After numbing the cervix with a local anaesthetic injection, a thin heated wire loop with a mild electric current (known as diathermy) is used to remove the abnormal cells, while also aiming to preserve as much of the healthy cervix as possible The LEEP / LLETZ procedure recovery and post LEEP cervix healing normally take 4 to 6 weeks. During this time period, especially in the first few days after a LEEP, you may expect to experience vaginal bleeding, pain, cramping, bloating, and brownish or dark discharge with foul smell and blood spots

Congratulations!!! I had an LLETZ procedure in feb 2020 and I'm now just over 13 weeks pregnant. I have been told that there is no reason to worry but i need to be under a consultant. They have marked me as high risk but the midwife said I'm not actually and she just has to because of that. I haven't seen the consultant yet, I've. Loop electrosurgical excision procedure (LEEP) or large loop excision of the transformation zone (LLETZ). This type of excision uses a specific type of 'loop' that can be inserted into the cervical canal and allows for a rotational excision of a 'cone' shaped piece of tissu Waiting anxiously for LLETZ results. Claire_x over 7 years ago. Hi, I'm new to this site. I am 25 years old and for the past 18 months, I have visited my local hospital three times for a colposcopy. From the start, I was told that I had severe dyskaryosis, CIN 3. Several biopsies confirmed this

October 29, 2014 at 3:42 pm. Report. i've heard of many women clearing the infection after abnormal PAPs, LEEPs, and lifestyle adjustments. i just had a LEEP and am hoping to stay clear by going the supplement route + lots of vegetables + no smoking + exercise + low stress situations 12 years ago I underwent a procedure called LEEP (Or LLETZ) for removing abnormal pre-cancerous cells from my cervix. These are the kind of cells that could turn into cancer years later. Everything that I'd heard about the procedure led me to believe it would be completely minor. I'd bleed for a while and wouldn't b A LLETZ can be carried out at the same time as a colposcopy. It does not usually need an overnight stay in hospital. It is normally done while you're awake. Local anaesthetic is injected into your cervix to numb it during the treatment. This means that you won't feel pain. You may notice a burning smell during this procedure. This is normal The average LEEP procedure cost is about $1,722 according to MD Save. The range could go as low as $400 or as high as more than $2,000. The exact price of the treatment depends on how much the health care provider charges as well as the cost of pathology fees. Also, the price may get higher if you have no insurance company to back you up LLETZlearn® is a unique practical (hands-on) training simulator for colposcopy & LLETZ / LEEP, developed by Anna Barbour with design and manufacturing expertise from DTR Medical, support from the Portland Hospital and consultant gynaecologist Theresa Freeman-Wang

Fact Sheet Cervix - Treatment after Abnormal Pap Test (LLETZ

Infection of the LLETZ wound complicated 11 procedures (2.5%). None suffered from postoperative endometritis. There were thus surgical complications related to diagnostic hysteroscopy in only two of the 442 women (0.5%). Discussion. We found an overall complication rate of 8.6% and a previously unknown intrauterine abnormality in 6.3% of the. LEEP/LLETZ. The LEEP or LLETZ procedure utilizes a thin wire in the shape of a loop with an electrosurgical generator. The loops are available in a variety of shapes and sizes, allowing.

How Long After LLETZ Can I Get Pregnant (And Why)

LLETZ: Abbreviation for large loop excision of transformation zone of the cervix of the uterus The LLETZ or LEEP will remove entire transformation zone completely and depending on the lesion and the type of transformation zone will determine the amount of tissue removed by the procedure. i.e. Type 3 is where the transformation zone descends into the cervical canal and cannot be easiy visulaized. That usually results in LEEP with top hat LLETZ. Hayden Medical carries a wide variety of German Stainless Steel instruments with Non-Conductive Coatings applied in USA Manufacturing facilities to ensure a high-quality product. LEEP (loop electrosurgical excision procedure) and LLETZ (large loop excision of transformation zone) procedures include non-conductive coated instruments.

Comparison of LLETZ Versus LEEP for the Treatment of

Objective. Large loop excision of the transformation zone (LLETZ) conization has been associated with adverse obstetrical outcomes. In an approach to reduce the number of performed LLETZ procedures, we conducted this study to evaluate whether diagnostic LLETZ should still be performed, by analyzing their yield in terms of detection (and treatment) of real high-grade squamous. Please note that for LLETZ, loop procedure, and laser cone biopsy is only available at our clinic at The Portland Hospital. If you are a self paying patient considering booking in for a package please discuss with the practice secretary. Consultation + colposcopy £630. Consultation + colposcopy + HPV sub-typing £73 Available to use with any type of Return Electrode Pad, the UK manufactured product is a unique practical hands-on training device that can be used with electro-surgical tools to imitate real-life treatment for Colposcopy and LLETZ/LEEP (Large Loop Excision of the Transformation Zone) procedures

LEEP/LLETZ Under Anesthesia - Greenville OB/GY

Loop electrosurgical excision procedure (LEEP) is a technique used in the treatment of mild to moderate precancerous changes (dysplasia) of the uterine cervix ( cervical dysplasia ). The cervix is the base of the womb (uterus) that leads out to the birth canal (vagina). LEEP can sometimes also be used to treat severe dysplasia or cancers that. Since its introduction in1989, large loop excision of transformation zone (LLETZ) has been the most popular method used for the treatment of cervical intra-epithelial neoplasia (CIN). It has advantages like being performed in short duration, outpatient procedure, low cost, good compliance, simplicity and easier learning method. There is a very good evidence to suggest that LLETZ has low.

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Colposcopy and LLETZ. This page will provide you with information about a Colposcopy and LLETZ. For further details, you should speak to your consultant. What is Colposcopy and LLETZ? A colposcopy is a common procedure used to examine the cells in your cervix (neck of your womb, see figure 1) Loop Electrosurgical Excision Procedure (LEEP) CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., which are independent licensees of the Blue Cross and Blue Shield Association

LLETZ is the most common treatment for abnormal cells to be removed from the cervix after a colposcopy.. Statistically, around 5% of smear tests produce abnormal results; given that there are 32.2. LLETZ is a common procedure used to remove abnormal cells from the cervix. LLETZ stands for 'large loop excision of the transformation zone'. In the USA, this procedure is called LEEP or 'loop electrosurgical excision'

The LLETZ procedures were indicated for abnormal Pap smears (≥low-grade squamous intraepithelial lesion). Repeat LLETZ and hysterectomies were carried out for reported incomplete excision of preinvasive lesions on the initial LLETZ. In the HIV-uninfected group, 4 (2.9%) had a repeat LLETZ; 6 (5.0%) HIV-infected patients had a repeat LLETZ The MedGyn Electrosurgical Generator System is a complete system for all LEEP/LLETZ procedures. The full system includes the Electrosurgical Generator, Smoke Evacuator and Trolley. MedGyn's Electrosurgical Generators feature both monopolar and bipolar functions to meet all your surgical demands with safety, flexibility, reliability, and. LLETZ is a simple treatment to remove pre-cancer changes from the cervix. Whilst you are under general anaesthetic, local anaesthetic is injected to the cervix, and then a fine wire loop is heated by electricity (electro-cautery) to remove the affected tissue on the cervix. This electro-cautery is then applied to the cervix to cauterise it For LLETZ procedures. It provides a superior view with one instrument as compared to a standard speculum and the lateral retractor. The built-in side blades are erected on demand to enhance the view of the cervix as needed. Unique speculum with built-in lateral retractor blades. Side blades lock firmly into place. Features a built in instrument.

Treatment if you have abnormal cervical cells Cervical

What does LLETZ abbreviation stand for? List of 11 best LLETZ meaning forms based on popularity. Most common LLETZ abbreviation full forms updated in May 202 LLETZ is listed in the World's largest and most authoritative dictionary database of abbreviations and acronyms. LLETZ - What does LLETZ stand for? The Free Dictionary. Patients underwent colposcopic evaluation and a LLETZ procedure or biopsy as indicated