Related Experiment Video
Updated: Aug 29, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Traction suture of the cervix: a novel procedure with loop electrosurgical excision
Jacob Bornstein1, Jeffrey Harroch, Ezra Morad
1Colposcopy Unit, Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya, Israel. mdjacob@tx.technion.ac.il
Background:
Loop electosurgical excision procedure (LEEP) of the transformation zone has become the preferred treatment of cervical intraepithelial neoplasia (CIN).
Case:
An inadvertent vesicovaginal laceration occurred during LEEP of CIN2 in a 57-year-old-woman with a cystocele. We developed a traction suture of the cervix that we used during LEEP that permits manipulation of the cervix outward, away from the nearby protruding tissues.
Conclusion:
Traction suture during LEEP may reduce inadvertent lacerations in patients with cystocele, rectocele, and other protruding tissues.
