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.
Obstetrics and Gynaecology, Derriford Hospital, Plymouth, UK. lisaverity@aol.com
Lisa
L
Verity
Luigi
L
Bombieri
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