Jennifer R Cook1, Elvis I Seman, Robert T O'Shea. 1. Department of Obstetrics, Gynaecology and Reproductive Medicine, Flinders Medical Centre, Flinders Endogynaecology and Flinders University, Bedford Park, South Australia, Australia. Jenny.Cook@fmc.sa.gov.au
Abstract
OBJECTIVE: To report the morbidity associated with the laparoscopic treatment of enteroceles and assess the durability of the repair. DESIGN: Prospective observational study. SETTING: University Teaching Hospital. POPULATION: Forty-five consecutive women with symptomatic enteroceles who underwent laparoscopic treatment of an enterocele. MAIN OUTCOME MEASURES: Objective urogynaecological assessment using the pelvic organ prolapse quantification system. RESULTS: The 11% incidence of anterior wall prolapse is lower than that associated with previous reports of surgical procedures to treat enterocele. There is a 4.4% incidence of major complications. The procedure has been demonstrated to have a 93% success rate at 3 years in treating enterocele. CONCLUSION: The laparoscopic enterocele sac excision and vaginal vault suspension fulfils Richardson's requirements for surgical correction of enterocele and provides an anatomic solution to the long-standing surgical dilemma of enterocele.
OBJECTIVE: To report the morbidity associated with the laparoscopic treatment of enteroceles and assess the durability of the repair. DESIGN: Prospective observational study. SETTING: University Teaching Hospital. POPULATION: Forty-five consecutive women with symptomatic enteroceles who underwent laparoscopic treatment of an enterocele. MAIN OUTCOME MEASURES: Objective urogynaecological assessment using the pelvic organ prolapse quantification system. RESULTS: The 11% incidence of anterior wall prolapse is lower than that associated with previous reports of surgical procedures to treat enterocele. There is a 4.4% incidence of major complications. The procedure has been demonstrated to have a 93% success rate at 3 years in treating enterocele. CONCLUSION: The laparoscopic enterocele sac excision and vaginal vault suspension fulfils Richardson's requirements for surgical correction of enterocele and provides an anatomic solution to the long-standing surgical dilemma of enterocele.
Authors: Filip Claerhout; Jan Paul Roovers; Paul Lewi; Jasper Verguts; Dirk De Ridder; Jan Deprest Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2009-05-29