Kolpokleisis

Kolpokleisis (from ancient Greek κόλπος kólpos "womb", "vagina"; κλειδώνω kleiosis "close") is called an operative closure of the vagina .

Kolpokleisis used to be more common, but is now only rarely performed to treat a vaginal-uterine prolapse . Through improved anesthesia options , more intensive internal preparation of the patients before and improved care after an operation, the vaginal occlusive surgical procedures have increasingly been replaced by vaginal uterine removal with vaginal plasty.

A Kolpokleisis is a relatively simple, less invasive, less stressful and short-lasting procedure that can sometimes also be carried out under local anesthesia . This makes such interventions particularly suitable for older multimorbid patients who no longer have sexual intercourse . Disadvantages of the different variants are a higher frequency of recurrences, frequent (secondary) stress incontinence , and the inaccessibility or poor accessibility in later diseases of the uterus .

The most common, multiple modified, vaginal closing operations are:

• Subtotal Kolpokleisis according to Labhardt
• Subtotal Kolpokleisis according to Neugebauer-LeFort
• Cross-bar color chart according to Döderlein
• Kolpokleisis after Conill

literature

• MW Beckmann, S. Krämer, M. Winkler: Kolpohysterectomy and Kolpokleisis - still contemporary? In: The gynecologist . 35 (2002), pp. 125-131. doi: 10.1007 / s00129-002-1164-x , springermedizin.de (PDF; 222 kB)
• Rainer Hofmann, Uwe Wagner: incontinence and descent surgery of women . Springer, 2008, ISBN 978-3-540-79937-5 , p. 177.

Web links

• Representation of the operative procedure with pictures

Individual evidence

1. ↑ S. Abbasy, K. Kenton: obliterative procedures for pelvic organ prolapse . In: Clin Obstet Gynecol . tape 53 , no. 1 , March 2010, p. 86-98 , doi : 10.1097 / GRF.0b013e3181cd4252 , PMID 20142646 .
2. ↑ Alfred Labhardt : Kolpoperineokleisis subtotalis. Prolapse Surgery in Old Women. In: Zbl Gynecol. , 56, 1932, p. 834.
3. ↑ LA Neugebauer: A few words about the median vaginal suture as a means of eliminating the prolapse of the uterus. In: Zbl Gynecol. , 5, 1881, p. 25.
4. ↑ LeFort: Nouveau procédé pour la guérison you prolapsus utérin. In: Bull Gén Ther. (Paris), 92, 1877, p. 337.
5. ↑ G. Döderlein , W. Schink: The cross bar operations. In: Zbl Gynecol. , 82, 1960, p. 1551.
6. ↑ V. Conill: Ambulatory Kolpoepisiokleisis in senile prolapse. In: Z obstetric gynecol. , 136, 1952, p. 113.

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !