2016, Number 3
<< Back Next >>
Revista Cubana de Obstetricia y Ginecología 2016; 42 (3)
Colpocleisis as option to correct vaginal vault prolapse
Areces DG, Sarduy NM, Manzano OBR, Martínez CY
Language: Spanish
References: 37
Page: 274-285
PDF size: 140.19 Kb.
ABSTRACT
Introduction: vaginal vault prolapse continues to be a difficult though well defined
problem in reconstructive pelvic surgery. Minimally invasive and safe options are
increasingly considered for its solution.
Objective: characterize a group of patients with vaginal vault prolapse treated by
surgery.
Methods: a retrospective descriptive study was conducted of the medical records
of 70 patients diagnosed with this condition at the Gynecology Service of "Ramón
González Coro" Hospital from June 2003 to December 2012. Data about clinical,
surgical and evolution variables were obtained from surveys, the patients' medical
records and the hospital's surgery registry.
Results: results are encouraging due to the small number of recurrences. The
procedure is a successful, safe alternative applicable in our environment as long as
individualized criteria are abided by.
Conclusions: surgical correction of vaginal vault prolapse is an effective procedure
endorsed by the high level of satisfaction among healed or alleviated patients. We
therefore recommend the inclusion of such techniques, whose increasingly common
use requires the training of the personnel who will perform them.
REFERENCES
Te Linde RW. Pelvic organ prolapse. In: Lippincot, Williams, Wilkins, editors. Textbook of Operative Gynecology, 10th ed; 2008. pag: 855-874.
Blandon RE, Bharucha AE, Joseph L, Melter II, Schleck CD, Zimsmeister AR, et al. Risk factors for pelvic floor repair after hysterectomy. Obstet Gyn. 2009;113(3):601-8.
Flolkow MF, Newton KM, Lentz GM, Welss NS. Lifetime risk of surgical managment for pelvic organ prolapse or urinary incontinence. Int Urog J Pelv Floor Dysf. 2008;(19):437-40.
DeLancey JO. The hidden epidemic of pelvic floor dysfunction: achievable goals for improved prevention and treatment. Am J Obst Gyn. 2005;192:1488-95.
Emge LA, Durfee RB. Pelvic organ prolapse: four thousand years of treatment. Clin Obst Gyn. 1996;(9):997-1032.
De Tayrac R, Marès P. Cure du prolapsus par voie vaginale: faut-il toujours associer une hysterectomie? La Havane:JTA;2013.
Maher C, Feiner B, Baessler K, Glazneiren CMA, Adams EJ, Hagen S. Surgical management of pelvic organ prolapse in women (Review). The Cochrane Library. 2013;4(2).
Novara G,Artibani W. Surgery for pelvic organ prolapse: current status and future perspectives. Curr Opin Urol. 2005;15(4):256-62.
Patel M, O`Sullivan D, Tulikangas PK. A comparison of costs for abdominal, laparoscopic and robot-assisted sacral colpopexy. Int Urog J Pelvic Floor Dysfunc. 2009;(20):223-8.
Lienemann A, Fischer T. Functional imaging of the pelvic floor. Europ J Radiol. 2003;(47):117-22.
DeLancey JO. Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol. 1992;(166):1717-28.
Lien KC, Mooney B, DeLancey JO. Levator ani muscle stretch induced by simulated vaginal birth. Obstet Gyn. 2004(103):31-40.
Arbel R, Larry Y. Vaginal vault prolapse: choice of operation. Best Pract Research Clin Obst Gyn. 2005;19(6):959-77.
Areces GD, Manzano BR, Capote R. Protocolo de actuación del Grupo de Suelo Pélvico en el Hospital González Coro de La Habana. Rev Cubana Obstet Ginecol. 2010;36(4):646-53.
Barber MD. Symptoms and outcome measures for pelvic organ prolapse Clin Obst Gyn. 2005;(48):648-61.
Visco AG, Brubaker L, Nygaard I, Richter HE, Cundiff G, Fine P, et al. The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: CARE trial. Int Urog J Pelvic Floor Dysf. 2008;19(5):607-11.
Harmanli OH, Dandolu V, Chatwani AJ, Grody MT. Total colpocleisis for severe pelvic organ prolapse. J Reprod Med. 2003;48(9):703-6.
Seymour DG. Surgery and anaesthesia in old age. In: Brocklehurst J, Tallis RC, Fillit HM, editors. Textbook of geriatrics medicine and gerontology. 5 th ed. London: Churchill Livingstone; 1998, p. 235-7.
Glavind K, Kempf L. Colpectomy or LeFort colpocleisis: a good option in selected elderly patients. Int Urogynec J. 2005;16(1):48-51.
Ahranjani M, Nora E, Rezai P, Brijeuwsky S. Neubager-LeFort operation for vaginal prolapse. J Reprod Med. 1992;37:959.
Fitzgerald MP, Richter HE, Siddique S, Thompson P, Zyczynski H, Weber A. Colpocleisis: a review. Int Urog J Pelvic Floor Dysf. 2006;17(3):261-71.
Guibaudo C, Hocke C. Está aún indicada la colpocleisis en el tratamiento del prolapso genital? Prog Urol. 2005;15(2):272-6.
Hullfish KL, Bovljerg VE, Steers WD. Colpocleisis for POP: patients' goals, quality of life and satisfaction. Obstet Gynecol. 2007;110(2pt1):41-5.
Jedrzejczyk S, Lau K, Rutkowska B, Rzanek A: Urinary incontinence after gynaecological surgery-urodynamic studies. Gineckol Pol. 2010;81(5):370-3.
Veters PF, Lazarou G, Apostolis C, Mondesir C. Morbidity and outcomes of urogynecological surgery in elderly women. J Am Geriat Soc. 2010;58(1):188-9.
Denehy TR, Choe JY, Gregory CA, Breen JL. Modified LeFort partial colpocleisis with Kelly urethral plication and posterior colpoperineoplasty in the medically compromised elderly. Am J Obstet Gynecol. 1996;173:1967-9.
Addison WA, Timmons MC. Abdominal sacral colpopexy for enterocele and vaginal vault prolapse. In: Thompson & Rock, eds. Te Linde's operative gynecology, ed 8th. Philadelphia JB: Lippincourt. 1998;38:1030-7.
Barrington JW, Edwards G. Post-hysterectomy vault prolapse. Int Urog J Pelvic Floor Dysf. 2000;11:241-50.
Diwadkar GB, Barber MD, Feiner B, Maher C, Jelovsek JE. Complications and reoperation rates after apical vaginal prolapse surgical repair: a systematic review. Obst Gyn. 2009;113:367-73.
Nygaard I. Vaginal birth: a relic of the past in bulldogs and women? Obst Gyn. 2011;118(4):774-76.
McCall ML. Posterior culdoplasty: surgical correction of enterocele during vaginal hysterectomy, a preliminary report. Am J Obst Gyn. 1957;10:595.
Uzoma A, Farog A. Vaginal vault prolapse. Obst Gyn Int. 2009:275621 published online
Sung VW, Weitzen S, Sokol ER, Rardin CR, Myers DL. Effect of patient age on increasing morbidity and mortality following urogynecologic surgery. Am J Obst Gyn. 2006;194:1411-7.
Flynn MK, Romero AA, Amundsen CL, Weidner AC. Vascular anatomy of the presacral space: a fresh tissue cadaver dissection. Am J Obst Gyn. 2005;192:1501-5.
Weber AM, Richter E Pelvic Organ Prolapse. Obst Gyn. 2005;106(3):615-34.
Hilger W, Poulson M, Norton P. Long term results of abdominal sacrocolpopexy. Am J Obst Gyn. 2003;189:1606-11.
Sullivan OE, Matthews CA, O'Reilly BA. Sacrocolpopexy: is there a consistent surgical technique? Int Urogynecol J. 2015;27(5):747-50.