The management of pulsion enterocoele with the Zacharin abdominoperineal technique (and mesh sacrocolpopexy).
Our aim was to evaluate the technique, results and complications in 126 women with pulsion enterocoele treated with the combined abdominoperineal repair. Mean follow-up was 25 months with a range of 0-83 months. Operative morbidity included bladder trauma (0.7%), bowel injury (3.1%), wound breakdown (0.7%), infection (10%), pulmonary embolus (0.7%) and blood transfusion (40%). Longterm complications included prolonged urinary retention (11%), incisional hernia (4.7%) and constipation (40.4%). 92.4% of women were cured.
Kuah
S E
SE
Department of Gynaecology and Urogynaecology, The Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Lee
K W
KW
Houghton
C R
CR
Korda
A R
AR
D000005:Abdomen / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000401:mortality; D012042:Registries; D018570:Risk Assessment; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D015996:Survival Rate; D016896:Treatment Outcome