Abstract

RONCATTI DE CARLI, Virgínia C; PALMA RODRIGUES, Paulo C; LOPES DUARTE, Eliana  and  ARRATIA MAMANI, Saul J. Colpocleisis for the treatment of advanced vaginal vault prolapse. Cuad. - Hosp. Clín. [online]. 2018, vol.59, n.1, pp.56-61. ISSN 1562-6776.

Abstract Introduction. The pelvic organ prolapse (POP) is a condition whose prevalence increases with age. Surgeons need to understand the indications, risks, constraints and results of various surgical techniques. This article is about obliterative surgical treatment of POP (colpocleisis and colpectomia) and it is based on the review of studies is discussed. Technical. In the literature are many variations of the techniques obliterative. In order to regulate the art for future study, we describe the technique of LeFort modified by the authors. The obliterative methods have operatory time, reduced perioperative morbidity and a low rate of recurrence of prolapse. The index of quality of life and patient satisfaction are high. Conclusion. The literature regarding the colpocleisis is limited by methodological quality. Therefore no evidence level I or II, in what concerns the colpocleisis. However, this technique should be part of the armamentarium of the surgeon in addressing severe prolapse in elderly women.

Keywords : Vaginal vault prolapse; colpocleisis.

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