Colpectomy is an operation which has fallen into an undeserved oblivion in this country largely because it involves the complete anatomic and physiologic loss of the vagina. However, simplicity of performance, safety, uniformly good results, and applicability to conditions not amenable to any of the reconstructive types of operation insure for it a permanent place among useful surgical procedures.
In Europe, colpectomy enjoys considerable popularity; in America it is seldom employed and the indications for the operation as well as the technic of the procedure and its modifications have received scant mention in the literature. Procedures more extensive and much less uniformly satisfactory are sometimes attempted in patients in whom colpectomy is definitely indicated.Le Fort1 in 1876 first described the central type of partial colpectomy for prolapse. His patient, aged 48 years, had a marked prolapse. He performed central colpectomy only at first and obtained a satisfactory