Vaginectomy with pelvic herniorrhaphy for prolapse - 28/08/11
, Richard J Cardosi, MD a, Jorge Lockhart, MD b, Douglas C Hall, MD c, Sandra J Murphy, MD c
Reprint requests: Mitchel S. Hoffman, MD, Department of Obstetrics and Gynecology, 4 Columbia Dr, Suite 529, Tampa, FL 33606.Tampa and Ocala, Fla
Abstract |
OBJECTIVE: The study was undertaken to report our experience with vaginectomy and pelvic herniorrhaphy for vaginal prolapse.
STUDY DESIGN: This was an observational study of patients undergoing vaginectomy (n=41) or hysterovaginectomy (n=13) for stage III/IV vaginal prolapse. Morbidity was compared with cohorts who had undergone transvaginal repair of prolapse, by using the Mann-Whitney U test.
RESULTS: Morbidity did not differ significantly (estimated blood loss) between the vaginectomy and hysterovaginectomy groups. There were no recurrent hernias (6-56 months). Operative time, estimated blood loss, and day of discharge were significantly greater for the posthysterectomy prolapse group compared with the vaginectomy group. Operative time was significantly greater for the uterovaginal prolapse group versus the hysterovaginectomy group.
CONCLUSIONS: Vaginectomy with or without hysterectomy with pelvic herniorrhaphy is associated with a low rate of morbidity in a high-risk patient population. Hysterovaginectomy is not associated with a clinically significant difference in morbidity over vaginectomy alone. Vaginectomy with or without hysterectomy should be offered as a surgical option to selected patients with severe genital prolapse.
Le texte complet de cet article est disponible en PDF.Keywords : Prolapse, vaginectomy, colpocleisis
Plan
 | Presented at the Sixty-Fifth Annual Meeting of the South Atlantic Association of Obstetricians and Gynecologists, Hot Springs, Ark, January 25-28, 2003. |
Vol 189 - N° 2
P. 364-370 - août 2003 Retour au numéro
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