PFD Week 2016-Use of a Vessel Loop to Ensure Tunnel Patency During Lefort Colpocleisis

Use of a Vessel Loop to Ensure Tunnel Patency During Lefort Colpocleisis

Video Transcription

Video Summary

The video discusses copal chleasis as a surgical treatment for prolapse or incontinence in women. Approximately 20% of women will undergo surgery for these conditions in their lifetime. Copal chleasis involves removing areas of mucosa from the anterior and posterior vagina, creating lateral channels for uterine drainage. This procedure is associated with high rates of patient satisfaction. The video also mentions Leon Clement Laforte, a French surgeon who developed a procedure for partial copal chleasis in 1877. The surgical technique is described, including the marking of dissection areas, use of marcaine solution, removal of vaginal epithelium, and suturing to re-approximate channels. The procedure is completed with an extended peroneoraphy and levator plication.

Asset Subtitle

Peter L. Rosenblatt, MD, FACOG

Keywords

copal chleasis

surgical treatment

prolapse

incontinence

women