title: Abdomino perineal repair of pulsion enterocele.
abstract: OBJECTIVE
  To review the techniques, results and complications of the combined abdomino perineal repair and mersilene mesh sacrocolpopexy.
  
  
  METHODS
  From March 1988 to December 1993; 45 cases of pulsion enterocele were treated by a combination of the Zacharin type abdomino perineal repair and mersilene mesh sacrocolpopexy. Forty cases were followed from between 1 month and 18 months (mean 5.95 months). The notes were reviewed retrospectively.
  
  
  RESULTS
  There were 3 recurrences (7.5%). Complications were not insignificant: wound infection in 3, urinary tract infection in 6, bowel dysfunction in 8, ventral hernia, vaginal stricture necessitating surgical release, and brachial nerve plexus injury occurred once. In one patient a peritoneal cyst developed necessitating laparoscopic aspiration.
  
  
  CONCLUSIONS
  The combined abdomino perineal and sacrocolpopexy procedure offers the restoration of normal anatomy and the relief of the symptoms of prolapse in 92.5% of patients. The complication rate is significant and it should be undertaken as a secondary procedure.
authors.affiliation: Department of Obstetrics and Gynaecology, King George V Memorial Hospital for Mothers and Babies, Australia.
authors.forename: G M
authors.initials: GM
authors.lastname: Brieger
authors.forename: A R
authors.initials: AR
authors.lastname: Korda
authors.forename: C R
authors.initials: CR
authors.lastname: Houghton
mesh_terms: D000005:Abdomen / Q000601:surgery*; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D017773:Pelvic Floor / Q000601:surgery*; D010502:Perineum / Q000601:surgery*; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*
chemical_list: D011093:Polyethylene Terephthalates; C025539:Lavsan