Le Fort Partial Colpocleisis: A Low-Cost Model

Objective: The aim of this study is to develop a simulation model for the Le Fort partial colpocleisis. Introduction: One in 9 women will undergo surgery for incontinence or prolapse by age 80 with 30% of these requiring an additional prolapse surgery. With a success rate of over 90% and recurrence...

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Main Authors: Ankita Gupta, Silvia Herrera, Stephanie Kanitsch, Laurie Kane
Format: Article
Language:English
Published: SAGE Publishing 2018-09-01
Series:Journal of Medical Education and Curricular Development
Online Access:https://doi.org/10.1177/2382120518801582
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author Ankita Gupta
Silvia Herrera
Stephanie Kanitsch
Laurie Kane
author_facet Ankita Gupta
Silvia Herrera
Stephanie Kanitsch
Laurie Kane
author_sort Ankita Gupta
collection DOAJ
description Objective: The aim of this study is to develop a simulation model for the Le Fort partial colpocleisis. Introduction: One in 9 women will undergo surgery for incontinence or prolapse by age 80 with 30% of these requiring an additional prolapse surgery. With a success rate of over 90% and recurrence rate of 4.2%, obliterative procedures hold a significant place in the management of pelvic organ prolapse in elderly women who are no longer sexually active. For new trainees, the Le Fort colpocleisis may be difficult to conceptually visualize, requiring the need to develop models as teaching tools. Method: A low-cost model was developed using easily available craft supplies to simulate the Le Fort partial colpocleisis with the uterus in situ to treat procidentia. The cost of each model was under US $14 and time to make was approximately 1 hour. The video presents the construction and use of this model. Conclusions: The Le Fort partial colpocleisis technique has been in use for over a century. The aging population as well as the high risk of recurrence after prolapse repairs makes colpocleisis an important technique for trainees to master. Simulation models have proven their efficacy as a training tool. This simple model will allow trainees to fully comprehend the steps of this procedure. Using this video, educators can construct a model and use it to orient trainees to the Le Fort partial colpocleisis procedure.
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spelling doaj.art-febc085d0e6048c48e6846527fd4b1412022-12-22T00:22:25ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052018-09-01510.1177/2382120518801582Le Fort Partial Colpocleisis: A Low-Cost ModelAnkita Gupta0Silvia Herrera1Stephanie Kanitsch2Laurie Kane3Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics, Gynecology & Women’s Health, University of Louisville, Louisville, KY, USADepartment of Obstetrics and Gynecology, Crozer-Chester Medical Center, Upland, PA, USADepartment of Obstetrics and Gynecology, Crozer-Chester Medical Center, Upland, PA, USADivision of Female Pelvic Medicine and Reconstructive Surgery, Hackensack Meridian Health, Hackensack, NJ, USAObjective: The aim of this study is to develop a simulation model for the Le Fort partial colpocleisis. Introduction: One in 9 women will undergo surgery for incontinence or prolapse by age 80 with 30% of these requiring an additional prolapse surgery. With a success rate of over 90% and recurrence rate of 4.2%, obliterative procedures hold a significant place in the management of pelvic organ prolapse in elderly women who are no longer sexually active. For new trainees, the Le Fort colpocleisis may be difficult to conceptually visualize, requiring the need to develop models as teaching tools. Method: A low-cost model was developed using easily available craft supplies to simulate the Le Fort partial colpocleisis with the uterus in situ to treat procidentia. The cost of each model was under US $14 and time to make was approximately 1 hour. The video presents the construction and use of this model. Conclusions: The Le Fort partial colpocleisis technique has been in use for over a century. The aging population as well as the high risk of recurrence after prolapse repairs makes colpocleisis an important technique for trainees to master. Simulation models have proven their efficacy as a training tool. This simple model will allow trainees to fully comprehend the steps of this procedure. Using this video, educators can construct a model and use it to orient trainees to the Le Fort partial colpocleisis procedure.https://doi.org/10.1177/2382120518801582
spellingShingle Ankita Gupta
Silvia Herrera
Stephanie Kanitsch
Laurie Kane
Le Fort Partial Colpocleisis: A Low-Cost Model
Journal of Medical Education and Curricular Development
title Le Fort Partial Colpocleisis: A Low-Cost Model
title_full Le Fort Partial Colpocleisis: A Low-Cost Model
title_fullStr Le Fort Partial Colpocleisis: A Low-Cost Model
title_full_unstemmed Le Fort Partial Colpocleisis: A Low-Cost Model
title_short Le Fort Partial Colpocleisis: A Low-Cost Model
title_sort le fort partial colpocleisis a low cost model
url https://doi.org/10.1177/2382120518801582
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AT silviaherrera lefortpartialcolpocleisisalowcostmodel
AT stephaniekanitsch lefortpartialcolpocleisisalowcostmodel
AT lauriekane lefortpartialcolpocleisisalowcostmodel