COLPOCLEISIS DE LEFORT PDF DOWNLOAD
Published on: Associated with: Obstetrics & Gynecology. (2), February LeFort colpocleisis. See the related article by Zebede et al. LeFort colpocleisis and stress incontinence: weighing the risk of voiding De novo VD occurred in two patients (%) and one (%). Center for Pelvic Health, Navicent Health. Le Fort colpocleisis. What is a Le Fort colpocleisis? Elderly woman standing and smiling with her arms crossed Le Fort.
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Possible pitfalls of the procedure include 1 failure to adequately dissect the anterior vaginal mucosa off the pubovesical cervical fascia and inadvertently entering the bladder or 2 penetrating the perirectal fascia and entering the rectum. Care must be exercised in colpocleisis de lefort the sutures in the pubovesical colpocleisis de lefort fascia anteriorly and the perirectal fascia posteriorly in order not to penetrate the bladder or rectum.
Technique The patient is placed in the dorsal lithotomy position and carefully examined under anesthesia. The vulva and perineum are prepped and draped.
The labia are anchored laterally with interrupted synthetic absorbable suture. The cervix is grasped with a Jacobs tenaculum and prolapsed from the vagina.
A brilliant green marking pen is used to outline the area of the anterior vaginal mucosa that is to be undermined and removed. In a similar manner, a brilliant green marking pen is used to colpocleisis de lefort the posterior vaginal mucosa.
With a scalpel, the posterior vaginal mucosa is incised transversely at its colpocleisis de lefort with the cervix. The blades of curved Mayo scissors are inserted underneath the posterior vaginal mucosa and on top of the perirectal fascia, and the vaginal mucosa is freed to the lateral margins of the marked area.
The posterior vaginal mucosa is then cut along the prescribed marking lines with curved Mayo scissors and removed. A similar transverse incision is made in the anterior vaginal mucosa at its junction with the cervix. With this in mind, the editors, from the fields of gynecologic oncology, urology, and colon and rectal surgery, identified experts in theirown fields who could bestcontribute to the management of specific problem areas.
For example, since reoperations for endometriosis may involve uterus, adnexae, ovaries, or the colorectum, the chapter colpocleisis de lefort this condition has been coauthored by specialists in colorectal surgery and gynecologic oncology.
Watkins Interposition Operation Le Fort Operation The Le Fort operation is an excellent procedure for complete prolapse in elderly women who have had adequate sexual counseling and who under no circumstances expect to have intercourse in the future.
Failure or recurrent prolapse after the procedure is extremely rare. If the procedure removes excessive anterior vaginal wall, however, the urethrovesical angle may be brought down to the posterior fourchette, and some patients will have either stress or overflow incontinence of colpocleisis de lefort.
Colpocleisis - Wikipedia
To avoid this problem, we have modified the operation to include the upper two-thirds of the vagina but not the lower third of the anterior vaginal wall. Although a slight urethrocele may remain, this generally causes no discomfort to the patient and at the same time reduces the incidence of postoperative urinary incontinence.
The vagina is obliterated except for two small drainage canals on the lateral side for discharge of vaginal mucus. Sexual intercourse is not possible after this operation.
Possible pitfalls of the colpocleisis de lefort include 1 failure to adequately dissect the anterior vaginal mucosa off the pubovesical cervical colpocleisis de lefort and inadvertently entering the bladder or 2 penetrating the perirectal fascia and entering the rectum.
Care must be exercised in placing the sutures in the pubovesical cervical fascia anteriorly and the perirectal fascia posteriorly in order not to penetrate the bladder or rectum. Technique The patient is placed in the dorsal lithotomy position and colpocleisis de lefort examined under anesthesia.
The vulva and perineum are prepped and draped. The labia are anchored laterally with interrupted synthetic absorbable suture.