Laparoscopic treatment of enterocele: a 3-year evaluation.
OBJECTIVE
To report the morbidity associated with the laparoscopic treatment of enteroceles and assess the durability of the repair.


METHODS
Prospective observational study.


METHODS
University Teaching Hospital.


METHODS
Forty-five consecutive women with symptomatic enteroceles who underwent laparoscopic treatment of an enterocele.


METHODS
Objective urogynaecological assessment using the pelvic organ prolapse quantification system.


RESULTS
The 11% incidence of anterior wall prolapse is lower than that associated with previous reports of surgical procedures to treat enterocele. There is a 4.4% incidence of major complications. The procedure has been demonstrated to have a 93% success rate at 3 years in treating enterocele.


CONCLUSIONS
The laparoscopic enterocele sac excision and vaginal vault suspension fulfils Richardson's requirements for surgical correction of enterocele and provides an anatomic solution to the long-standing surgical dilemma of enterocele.
Cook
Jennifer R
JR
Department of Obstetrics, Gynaecology and Reproductive Medicine, Flinders Medical Centre, Flinders Endogynaecology and Flinders University, Bedford Park, South Australia, Australia. Jenny.Cook@fmc.sa.gov.au
Seman
Elvis I
EI
O'Shea
Robert T
RT
D005260:Female; D006547:Hernia / Q000503:physiopathology; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000401:mortality; D011446:Prospective Studies; D016896:Treatment Outcome; D014563:Urodynamics