Evisceration after enterocele repair: a rare complication of vaginal surgery.
Evisceration is a life-threatening surgical emergency which must be promptly treated. Evisceration following vaginal enterocele operation is so rare that no incidence rate can be established. A review of the literature revealed only 71 cases. The reported women were in general postmenopausal, with only 15% less than 50 years of age. In 18% of cases vaginal rupture occurred while straining at stool. Four patients are known to have died due to evisceration. Of the reported repair operations, 57% were performed transabdominably, 28% transvaginally, and 15% via a combined abdominovaginal route. The authors present 1 more case treated transvaginally, with a review of the literature.
Virtanen
H S
HS
University Central Hospital of Turku, Finland.
Ekholm
E
E
Kiilholma
P J
PJ
D000368:Aged; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology*; D011183:Postoperative Complications; D011391:Prolapse; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*