The Results of Uterine Prolapse Surgery in Elderly Woman with Partial Colpocleisis Procedure and Anterior Posterior Vaginal Repair
Keywords:
uterine prolapse, partial colpocleisis, anterior posterior vaginal repair, elderly womenAbstract
This prospective study aims to show the results of uterine prolapse surgery with partial
colpocleisis procedure and anterior posterior repair in elderly women from Khaoyoi and Banlart
hospital Petchaburi Province during August 2008 and August 2015. The objective of this study
was to show the underwent prolapse repair, the duration of operation times, the complication
of intraoperation, post operation and the results for correcting uterine prolapse. There were 25
patients whose the age of 70 and over. The average age was 74.6 years (SD = 13.42). The
average operation time was 56.8 minutes (SD = 43.5). There were 24 (96%) successful cases
in this study. There were 2 cases with intraoperative complications from mild hypoglycemia.
There was 1 case recurrence of uterine prolapse and was successfully treated with complete
colpocleisis operation. The results from this preliminary study showed that partial colpocleisis
procedure and anterior posterior repair offers significant advantages in elderly patients in whom
conservative management is not feasible.
References
2. Ritcher HE, Varner RE.Pelvic Organ Prolapse. In: Berek JS, Editor. Berek&Novak’s Gynecology. 4th ed. Philadelphia: Lippincott William & Winkin; 2007. p.897-934.
3. พิชัย ลีระศิริ. การผ่าตัดแก้ไขผนังช่องคลอดหย่อน. ใน : วีรศักดิ์ วงศ์ถิรพร, มณี รัตนไชยานนท์, ประสงค์ ตันมหาสมุทร, มงคล เบญจาภิบาล, ไอรีน เรืองขจร, บรรณาธิการ. ตำรานรีเวชวิทยา. ฉบับเรียบเรียงครั้งที่ 3. กรุงเทพมหานคร : บริษัท พี. เอ. ลิฟวิ่ง จำกัด ; 2554. หน้า 319-36.
4. FitzGerald MP, Ritcher HE, Siddique S, Thompson P, Zyczynski H. Colpocleisis: A Review Int Urogynecal J 2006;17:261-71.
5. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapseand urinary incontinence. ObstetGynecol 1997;89:501-6.
6. Krissi H, Aviram A, Eitan R, From A, Wiznitzer A, Peled Y. Risk factors for recurrence after Le Fort colpocleisis for severe pelvic organ prolapsed in elderly women. Int J Surg 2015;20:75-9.
7. Karram M, Evans J. Step by step : Obliterating the vaginal canal to correct pelvic organ prolapsed. OBG Management Feb 2012 (cited 2018 sept 21);24(2): (4 screen). Available from URL:http://www.obgmanagement.com/home/article/step-by-step-obliterating-the-vaginalcanal-to-correct-pelvic-organ-prolapse/7253ea9a00881e38ee477eeafc7fa2ba.html.
8. Goodall JR, Power RMH. A modification of the Le Fortoperation for increasing its scope. Am J ObstetGynecol 1937;34:968-76.
9. Moore RD, Miklos JR. Colpocleisis and tension-free vaginal tapesling for severe uterine and vaginal prolapse and stress urinaryincontinence under local anesthesia. J Am Assoc Gynecol Laprosc 2003;10:276-80.
10. Langmade CF, Oliver JA Jr. Partial colpocleisis. Am J Obstet Gynecol.1986;154(6):1200-5.
11. Fitz Gerald MP, Brubaker. Colpocleisis and urinary incontinence. Am J Obstet Gynecol 2003;189(5):1241-4.
12. Maher C, Baessler K, Glazener CM, Adam EJ, Hagen S. Surgical management of pelvic organ prolapse in women : a short version review. Neurourodyn 2008;27(1):3-12.
13. Denehy TR, Choe JY, Gregori CA, Breen JL. Modified Le Fort partialcolpocleisis with Kelly urethral plication and posteriorcolpoperineoplasty in the medically compromised elderly : Acomparison with vaginal hysterectomy, anterior colporrhaphy, and posterior colpoperineoplasty. Am J ObstetGynecol 1995;173:1697-702.
14. Hanson GE, Keettel WC. The Neugebauer Le Fortoperation (a review of 288 colpocleisis). Obstet Gynecol 1969;34:352-7.
15. Falk H, Kaufman S. Partial colpocleisis: the Le Fort procedure (analysis of 100 cases). ObstetGynecol 1955;5:617.
16. Ardekany MS, Rafee R. A new modification of colpocleisisfor treatment of total procidentia in old age. Int J GynaecolObstet 1978;15:358-60.
Downloads
Published
How to Cite
Issue
Section
License
บทความที่ลงพิมพ์ในวารสารเวชศาสตร์ป้องกันแห่งประเทศไทย ถือเป็นผลงานวิชาการ งานวิจัย วิเคราะห์ วิจารณ์ เป็นความเห็นส่วนตัวของผู้นิพนธ์ กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยเสมอไปและผู้นิพนธ์จะต้องรับผิดชอบต่อบทความของตนเอง