Abdomino Perineal Repair of Pulsion Enterocele
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AbstractObjectives: To review the techniques, results and complications of the combined abdomino perineal repair and mersilene mesh sacrocolpopexy. Methods: From March 1988 to December 1993; 45 cases of pulsion enterocele were treated by a combination of the Zacharin type abdomino perineal repair and mersilene mesh sacrocolpopexy. Forty cases were followed from between 1 month and 18 months (mean 5.95 months). The notes were reviewed retrospectively. Results: There were 3 recurrences (7.5%). Complications were not insignificant: wound infection in 3, urinary tract infection in 6, bowel dysfunction in 8, ventral hernia, vaginal stricture necessitating surgical release, and brachial nerve plexus injury occurred once. In one patient a peritoneal cyst developed necessitating laparoscopic aspiration. Conclusions: The combined abdomino perineal and sacrocolpopexy procedure offers the restoration of normal anatomy and the relief of the symptoms of prolapse in 92.5% of patients. The complication rate is significant and it should be undertaken as a secondary procedure.
All Author(s) ListBrieger G.M., Korda A.R., Roger C., Houghton S.
Journal nameJournal of Obstetrics and Gynaecology Research
Volume Number22
Issue Number2
PublisherBlackwell Publishing Inc.
Place of PublicationUnited Kingdom
Pages151 - 156
LanguagesEnglish-United Kingdom
KeywordsAbdomino perineal, Enterocele, Sacrocolpopexy

Last updated on 2020-02-04 at 00:09