Resumo
The authors describe a case of an 84 years old high-risk patient, in whom general or spinal anesthesia was contraindicated and who showed a total uterine prolapse. The patient was widow and did not have sexual activity, and underwent a colpocleisis (Le Fort operation). The procedure was brief and could be performed using a local anesthetic. The authors conclude that colpocleisis is a surgery performed by the way of exception, but has a place in the armamentarium of the gynecologist treating isolated cases of genital total prolapse.
Os autores relatam um caso de paciente com prolapso genital completo e sem condições clínicas de ser submetida à anestesia geral ou de condução. A paciente, de 84 anos e sem vida sexual há muitos anos, foi submetida a colpocleise parcial (técnica de Le Fort) com infiltração anestésica local. Os autores concluem que a colpocleise, embora deva ser considerada como cirurgia paliativa e de exceção, ainda encontra indicações na prática ginecológica diária.