Objective :
@EN Our purpose was to evaluate and compare the Le Fort partial colpocleisis in the medically compromized eldery population using intravenous sedation and local anesthesia, and conventional surgical repair repair using general anesthesia.
@ES Study design :
@EN A retrospective data collection sequential seriese of 10 patients performed Le For partial colpocleisis using local anesthesia.
The patients age, operative time, change in hemoglobin, days of hospitalization, medical illness, duration of catheter insertion, complication and follow up of are retrospective group of 23 women with complete uterine prolapse who had a vaginal
hysterectomy, anterior with posterior colporrhaphy performed by the same surgical team during same period
@ES Result :
@EN The median age of Le Fort partial colpocleisis was 71.2 years(range 64 to 82 years), where ase median age in the vaginal hysterectomy group was 59.6 years(range 45 to 75 years)(p<0.05). The median operating time under anesthesia of Le Fort
partial
colpocleisis was 70.07 minutes(range 37 to 805 minutes) compared with the vaginal hysterectomy median time of 149.57 minutes(range 75 to 225 minutes)(p<0.05). The amount of median blood loss during Le Fort partial colpocleisis was 133 ml compares
with
vaginal hysterectomy was 327.6 ml(p<0.05).
The median hospital study both Le Fort partial colpocleisis and vaginal hysterectomy was 4.7 days each other(range, le Fort partial colpocleisis 4 to 6 days, vaginal hysterectomy 6 to 13 days)(p<0.05).
The mediann duration of foley cathter insertion day in Le Fort partial colpocleisis was 1 day all cases and 4.3 days in vaginal hysterectomy(p<0.05).
The complications were comparable with the exception of 3 cases of mild degree urinary tract infection in the Le Fort partial colpocleisis group.
@ES Conclusion ;
@EN All 10 patients had the le Fort partial colpocleisis offers significant advantages in selected population of elderly, medically compromised condition.
The Le Fort partial colpocleissi was successful surgical repair under local anesthesia without the need of general inhalation.
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