Abdomino perineal repair of pulsion enterocele.
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.
Brieger
G M
GM
Department of Obstetrics and Gynaecology, King George V Memorial Hospital for Mothers and Babies, Australia.
Korda
A R
AR
Houghton
C R
CR
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*
D011093:Polyethylene Terephthalates; C025539:Lavsan