Vaginal evisceration, small bowel prolapse and acute obstruction as a late complication of sacrospinous fixation.
We describe the presentation, acute management and subsequent follow-up of a case of vaginal evisceration of small bowel in a woman who had complained of recurrent symptoms of prolapse following a vaginal hysterectomy and posterior repair and subsequent sacrospinous fixation for prolapse. The published incidence, risk factors, potential complications and described options of management are discussed.
Verity
Lisa
L
Obstetrics and Gynaecology, Derriford Hospital, Plymouth, UK. lisaverity@aol.com
Bombieri
Luigi
L
D000208:Acute Disease; D000368:Aged; D000714:Anastomosis, Surgical; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery*; D007082:Ileum / Q000601:surgery; D007813:Laparotomy; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D011391:Prolapse; D013526:Surgical Mesh; D013536:Suture Techniques