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Laparoscopic treatment of enterocele: A 3‐year evaluation
Author(s) -
Cook Jennifer R.,
Seman Elvis I.,
O'Shea Robert T
Publication year - 2004
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2004.00174.x
Subject(s) - medicine , surgery , observational study , incidence (geometry) , laparoscopy , vaginal vault prolapse , laparoscopic surgery , vaginal vault , general surgery , vagina , optics , physics , pathology
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.