Partial Colpocleisis (Le Fort)
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Partial Colpocleisis (Le Fort)

This Partial Colpocleisis (Le Fort) course will teach you:

  • To create a supportive column of tissue through the approximation of the denuded anterior and posterior vaginal wall in order to treat pelvic organ prolapse.

Special attention is paid to the following hazards you may encounter during the Partial Colpocleisis (Le Fort):

  • Rectum perforation
  • Post-operative hemorrhage
  • Obscured vision
  • Hematoma formation postoperatively
  • Bladder perforation
  • Dissection extension

With the following tips you might perform the Partial Colpocleisis (Le Fort) even better:

  • Externalization of the uterus
  • Decreasing per-operative bleeding
  • Dissection technique
  • Rigid and lenient tissue posterior vaginal wall
  • Correct dissection plane discernment
  • Vaginal wall incision length
  • Increased view on operating field
  • Incision edge manipulation
  • Sufficient vaginal wall dissection
  • Bilateral vaginal rectangular strip resection
  • Vaginal wall incision length
  • Suture placement
  • Lateral knot placement
  • Retraction sutures
  • Vaginal wall approximation
  • Partial colpocleisis (Le Fort)
  • Additional perineal support

After studying this Partial Colpocleisis (Le Fort) course you are familiar with the most common complications:

  • Perforation of hollow organ
  • Vaginal hematoma
  • Stress urinary incontinence
  • Regret after colpocleisis

You might also be interested in:

Anterior Vaginal Wall Prolapse Repair (Live)
Posterior Vaginal Wall Prolapse Repair (Live)
Posterior Vaginal Wall Prolapse Repair (Cadaver)

Step by step

Posterior vaginal wall resection

Vestibular fossa of the vagina

Retract - transversely

Retract the vestibular fossa of the vagina transversely by grasping it at the 7 and 5 o’ clock positions with two Kocher forceps.

Externalisation uterus

In case of a complete prolapse, it is possible to completely externalise the uterus, this may facilitate the marking of the vaginal wall as well as the subsequent vaginal wall excision and suturing.

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