AUGS/IUGA Scientific Meeting 2019-Colpocleisis with a Skin Flap

Video Transcription

Video Summary

This video provides an overview of the treatment options for pelvic organ prolapse, a common condition affecting women, particularly those over 50 years old. The video discusses the history of surgical techniques, including the Lefort procedure, which involves suturing the vaginal walls together. It then describes a case of a 61-year-old patient who underwent multiple surgeries for recurrent prolapse. The video presents a modification of the Lefort procedure using a perineal skin flap as an alternative surgical technique. The step-by-step process of the surgery is explained, highlighting the use of vicryl stitches to create lateral channels and support the vaginal walls. A postoperative follow-up shows successful healing and the restriction of prolapse during Valsalva maneuver. The video concludes by stating that obliterative surgery and total colpoclases are other treatment options for recurrent prolapse. However, the Lefort procedure with a perineal skin flap may be suitable for older patients who have experienced failed previous surgeries or have poor vaginal tissue quality.

Asset Caption

Alois Martan, MD, DSc

Keywords

treatment options

pelvic organ prolapse

Lefort procedure

perineal skin flap

recurrent prolapse