Pyometra as a rare complication of median colporaphia

Median colporaphy, proposed by French surgeon L.C. Le Fort at the end of the 19th century and modified by Polish gynecologist F.L. Neuegebauer, is one of the classic surgical treatment options aimed at correcting pelvic organ prolapse in sexually inactive elderly and senile patients. Despite all its advantages, including the short duration of the operation with the possibility of performing it using regional anesthesia methods, low injury rate and satisfactory patient tolerance, high efficiency with almost complete absence of relapses, this technique, like any surgical intervention, has disadvantages and complications. The article describes two clinical observations of the development of pyometra, one of the rarest complications of Lefort colpocleusis.

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Publication Details

Journal
Russian Bulletin of Obstetrician-Gynecologist
Published
2025-12-02
DOI
https://doi.org/10.17116/rosakush20252506183
Primary Topic
Gynecological conditions and treatments
Type
article
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article

Pyometra as a rare complication of median colporaphia

S.N. Buyanova, A.E. Brylyaeva, N.V. Yudina
Russian Bulletin of Obstetrician-Gynecologist
Gynecological conditions and treatments
article

Pyometra as a rare complication of median colporaphia

S.N. Buyanova, A.E. Brylyaeva, N.V. Yudina
article en

Abstract

Median colporaphy, proposed by French surgeon L.C. Le Fort at the end of the 19th century and modified by Polish gynecologist F.L. Neuegebauer, is one of the classic surgical treatment options aimed at correcting pelvic organ prolapse in sexually inactive elderly and senile patients. Despite all its advantages, including the short duration of the operation with the possibility of performing it using regional anesthesia methods, low injury rate and satisfactory patient tolerance, high efficiency with almost complete absence of relapses, this technique, like any surgical intervention, has disadvantages and complications. The article describes two clinical observations of the development of pyometra, one of the rarest complications of Lefort colpocleusis.

Russian Bulletin of Obstetrician-GynecologistVol. 25(6)
Moscow Regional Research Institute of Obstetrics and Gynecology (RU)
Openalex Percentile: Top 52%
Gynecological conditions and treatments
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