title: Transvaginal repair of enterocele and vaginal vault prolapse using autologous fascia lata graft.
abstract: BACKGROUND
  The aim was to describe the operative technique of transvaginal repair of enterocele and apical prolapse using autologous fascia lata and report intra- and postoperative complications and long-term outcome.
  
  
  METHODS
  A retrospective chart review of 74 consecutive patients who had repair of a symptomatic enterocele and vaginal vault prolapse or uterine prolapse from January 1987 to August 1999. All patients were followed for a minimum of 3 months and 61 were available for long-term evaluation at 18-106 months (median 52 months).
  
  
  RESULTS
  Intra- and postoperative complications were few. Pelvic examination at long-term follow-up disclosed a recurrence rate for enterocele of 1.7%, vaginal vault prolapse of 8.3%, and cystocele of 15%. Ninety-one per cent were subjectively satisfied with the relief of mechanical vaginal symptoms. Only 35% (6/17) were cured of constipation. Out of the 22 women who were sexually active after the procedure, 12 (54%) experienced improved quality.
  
  
  CONCLUSIONS
  Repair of the posterior compartment defect and suspension of the vaginal vault using autologous fascia lata graft provides acceptable intra- and postoperative complication and long-term results.
authors.affiliation: Department of Obstetrics and Gynecology, Copenhagen County Hospital Glostrup, Denmark.
authors.forename: Lars
authors.initials: L
authors.lastname: Mølsted-Pedersen
authors.forename: Martin
authors.initials: M
authors.lastname: Rudnicki
authors.forename: Gunnar
authors.initials: G
authors.lastname: Lose
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003718:Denmark / Q000453:epidemiology; D005206:Fascia Lata / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006547:Hernia / Q000453:epidemiology / Q000473:pathology; D059685:Herniorrhaphy; D006801:Humans; D007431:Intraoperative Complications; D008499:Medical Records; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D014621:Vagina / Q000601:surgery*