Laparoscopic repair of enterocele

Jeffrey A Cadeddu, Salvatore Micali, Robert G. Moore, Louis R. Kavoussi

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

The repair of an enterocele has classically been via a transvaginal or open abdominal route. With the availability of minimally invasive procedures, we applied established laparoscopic techniques to enterocele repair. Three women with a history of hysterectomy had a symptomatic enterocele as well as a cystocele or rectocele. Each underwent a transperitoneal laparoscopic enterocele repair prior to a transvaginal rectocele or cystocele repair or laparoscopic colposuspension. Using three trocars and transvaginal digital manipulation, the enterocele was reduced and repaired utilizing a modified Moschocowitz technique. The cul-de-sac was obliterated by approximating the posterior vaginal fascia to the anterior wall of the rectum with a running suture. There was no operative morbidity. The average length of stay was 3.3 days. All patients were asymptomatic with no enterocele recurrence identified during a mean follow-up of 10.5 (range 7-15) months. Laparoscopic enterocele repair is a feasible surgical procedure with minimal morbidity. A larger series with longer follow-up is necessary before the efficacy and proper indications for this minimally invasive procedure are determined.

Original languageEnglish (US)
Pages (from-to)367-369
Number of pages3
JournalJournal of Endourology
Volume10
Issue number4
DOIs
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Urology

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