title: Neugebauer-Le Fort operation for vaginal prolapse. A review of 38 cases.
abstract: Thirty-eight patients with varying degrees of vaginal wall prolapse were operated on using the Neugebauer-Le Fort technique. Their ages ranged from 59 to 90 years. Grand multiparity (> 4) was relatively uncommon (26%). Symptoms were present for more than two years in over half of the women. Serious medical conditions requiring preoperative attention were present in 55% of patients. If the uterus was present, dilation and curettage (D&C) was performed prior to the operation. Intraoperative complications were virtually absent; however, minor postoperative complications occurred in 30% of the patients. None of these complications were related to surgery or altered discharge plans. There were no deaths. No recurrences of prolapse were reported among 30 patients who were followed.
authors.affiliation: Department of Obstetrics and Gynecology, Columbus Hospital Medical Center, Chicago, Illinois 60614.
authors.forename: M
authors.initials: M
authors.lastname: Ahranjani
authors.forename: E
authors.initials: E
authors.lastname: Nora
authors.forename: P
authors.initials: P
authors.lastname: Rezai
authors.forename: S
authors.initials: S
authors.lastname: Bujewski
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014599:Uterus / Q000601:surgery; D014621:Vagina / Q000601:surgery*