Abdomino perineal repair of pulsion enterocele.

Autor: Brieger GM; Department of Obstetrics and Gynaecology, King George V Memorial Hospital for Mothers and Babies, Australia., Korda AR, Houghton CR
Jazyk: angličtina
Zdroj: The journal of obstetrics and gynaecology research [J Obstet Gynaecol Res] 1996 Apr; Vol. 22 (2), pp. 151-6.
DOI: 10.1111/j.1447-0756.1996.tb00958.x
Abstrakt: Objectives: 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.
Databáze: MEDLINE
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