Enterocele repair

Katarzyna Bochenska*, Kimberly Sue Kenton

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

An enterocele is a herniation of the pelvic peritoneum and/or small bowel beyond the normal boundaries of the cul-de-sac. Endopelvic fascia supporting the anterior, apical or posterior vagina is deficient, allowing the vagina to prolapse and small bowel to fill the hernia sac. An enterocele classically causes apical and/or posterior vaginal wall prolapse as the small bowel dissects into the rectovaginal space. Anterior and/or posterior vaginal wall prolapse without concomitant apical prolapse is uncommon. Therefore, apical prolapse repair should be included in the majority of enterocele repairs. Outcome studies also show that restoration of the apex corrects nearly half of anterior vaginal wall defects and one-third of posterior defects.

Original languageEnglish (US)
Title of host publicationNative Tissue Repair for Incontinence and Prolapse
PublisherSpringer International Publishing
Pages159-166
Number of pages8
ISBN (Electronic)9783319452685
ISBN (Print)9783319452661
DOIs
StatePublished - Jan 1 2017

Keywords

  • Apical prolapse
  • Enterocele
  • Halban
  • Moschowitz
  • Pelvic organ prolapse

ASJC Scopus subject areas

  • Medicine(all)

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