Video Description
Objective: The objective of this educational video is to describe the technique and required equipment for performing a LeFort partial colpocleisis using surgical footage as well as a low cost surgical model.
Methods: Using surgical footage and low-cost surgical model, we demonstrate a LeFort partial colpocleisis in six steps.
- Proper patient positioning
- Mark rectangular resection area
- Dissect and resect vaginal epithelium
- Place red rubber catheter to allow for lateral channels
- Reduce prolapse using sequential pursestring sutures
- Perineorrhaphy
Conclusion: Pelvic organ prolapse affects the quality of life of many patients, and one in nine will require corrective surgery by the age of 80. LeFort partial colpocleisis is a highly successful, minimally invasive surgical approach that is indicated in patients with pelvic organ prolapse who are no longer having vaginal intercourse and/or have comorbidities that prohibit a more extensive procedure.
This video provides a stepwise approach to performing a LeFort partial colpocleisis.
Presented By
Affiliations
St. Michael’s Hospital, University of Toronto