Colporrhaphy and Colpoperineorrhaphy
Clinically reviewed by anesthesia providers · Updated
At a glance
Also known as an anterior and/or posterior colporrhaphy, anterior and/or posterior vaginal wall repair, A/P repair, or A&P repair. Patient is put in the lithotomy position, and surgeon works between the legs. Lithotomy position, very low (5-10 ml) blood loss, 30-60 min (short).
Common questions
What is the anesthetic approach for colporrhaphy and colpoperineorrhaphy?
How is the patient positioned for colporrhaphy and colpoperineorrhaphy?
What is the expected blood loss and duration for colporrhaphy and colpoperineorrhaphy?
Is muscle relaxation needed for colporrhaphy and colpoperineorrhaphy?
Anesthetic Approaches
Also known as an anterior and/or posterior colporrhaphy, anterior and/or posterior vaginal wall repair, A/P repair, or A&P repair. Patient is put in the lithotomy position, and surgeon works between the legs. Stirrups are sometimes used. If used, ensure that the lateral portion of the knee leaning against the stirrup is cushioned. If not cushioned, the patient could suffer a peroneal nerve injury. LMA is perfectly suitable for this procedure, if not contraindicated.
A colporrhaphy is the repair of a defect in the vaginal wall. This defect has begun to interfere with activities of daily living or it is typically not surgically corrected. An anterior colporrhaphy will be surgically correcting a defect due to a cystocele or urethrocele, and a posterior colporrhaphy is reserved for a rectocele. A colpoperineorrhaphy is the repair of a defect in the perineum