[The operative treatment of enterocele and prolapse of the vaginal vault (author's transl)].
Between 1969 and 1980 11 operations according to Williams-Richardson, 23 abdominal sacropexies according to Wagner-Kuestner and 4 operations according to Amreich-II were performed for the treatment of enteroceles and prolapse of the vaginal vault. The combination of these operative methods with colpoperineorraphies and Marshall-Marchetti-Krantz operations and lyodura ribbon operations according to Zoedler for the urethro-vesical angle is described. Continence an elevation of the vaginal fornix was obtained by the operation according to Williams-Richardson and by the fixation of the vagina to the sacrospinal ligament. With the Williams-Richardson operation 1 enterocele occurred which was corrected with the vaginal fixation to the sacro-spinal ligament. Following fixation to the promontary 2 enteroceles, 4 cystocele, and one rectocele occurred in 4 patients. Three of these had urinary incontinence. The complications are described. The vaginal fixation to the sacro-spinal ligament according to Amreich II at times combined with the lyodura sling operation of Zoedler is today the preferred operative method.
D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D007044:Hysterectomy; D011183:Postoperative Complications; D014596:Uterine Prolapse / Q000601:surgery*
Die operative Behandlung der Enterozele und des Scheidenblindsackvorfalls.