caa a22 4500 47704574X CHVBK 20180405111329.0 cr unu---uuuuu 170330e19960901xx s 000 0 eng 10.1007/BF01901249 doi (NATIONALLICENCE)springer-10.1007/BF01901249 Pyometra following Le Fort colpocleisis [Elektronische Daten] [N. Kohli, E. Sze, M. Karram] The Le Fort colpocleisis is an obliterative procedure used in the treatment of pelvic prolapse in elderly women where prolonged reconstructive surgery or general anesthesia may be medically contraindicated. Advantages include the ability to perform this procedure quickly under regional anesthesia with a low postoperative complication rate. The authors describe a previously unreported complication of partial colpocleisis requiring subsequent hysterectomy. A 92-year-old woman presented with a 10-day history of lower extremity edema and pelvic pain. She had recently undergone a second partial colpocleisis for recurrent pelvic prolapse in which the drainage channels were partially obliterated. Radiologic evaluation revealed an enlarged complex pelvic mass. At the time of laparotomy, an enlarged uterus filled with purulent material was noted which necessitated subsequent hysterectomy. It was concluded that, although uncommon, postoperative infection is a recognized complication of Le Fort colpocleisis. To minimize the chance of abscess, adequate lateral channels should be created and maintained during colpocleisis to allow drainage of postoperative secretions, bleeding and inflammatory exudate. The International Urogynecology Journal, 1996 Colpocleisis nationallicence Pelvic prolapse nationallicence Pyometra nationallicence Kohli N. Department of Obstetrics and Gynecology, Seton Center/Good Samaritan Hospital, University of Cininnati School of Medicine, 375 Dixmyth Avenue, 45220, Cincinnati, Ohio, USA aut Sze E. Department of Obstetrics and Gynecology, Seton Center/Good Samaritan Hospital, University of Cininnati School of Medicine, 375 Dixmyth Avenue, 45220, Cincinnati, Ohio, USA aut Karram M. Department of Obstetrics and Gynecology, Seton Center/Good Samaritan Hospital, University of Cininnati School of Medicine, 375 Dixmyth Avenue, 45220, Cincinnati, Ohio, USA aut International Urogynecology Journal Springer-Verlag 7/5(1996-09-01), 264-266 0937-3462 7:5<264 1996 7 192 https://doi.org/10.1007/BF01901249 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01901249 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kohli N. Department of Obstetrics and Gynecology, Seton Center/Good Samaritan Hospital, University of Cininnati School of Medicine, 375 Dixmyth Avenue, 45220, Cincinnati, Ohio, USA aut NATIONALLICENCE 700 1- Sze E. Department of Obstetrics and Gynecology, Seton Center/Good Samaritan Hospital, University of Cininnati School of Medicine, 375 Dixmyth Avenue, 45220, Cincinnati, Ohio, USA aut NATIONALLICENCE 700 1- Karram M. Department of Obstetrics and Gynecology, Seton Center/Good Samaritan Hospital, University of Cininnati School of Medicine, 375 Dixmyth Avenue, 45220, Cincinnati, Ohio, USA aut NATIONALLICENCE 773 0- International Urogynecology Journal Springer-Verlag 7/5(1996-09-01), 264-266 0937-3462 7:5<264 1996 7 192 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer