Cook Jennifer R, Seman Elvis I, O'Shea Robert T
Department of Obstetrics, Gynaecology and Reproductive Medicine, Flinders Medical Centre, Flinders Endogynaecology and Flinders University, Bedford Park, South Australia, Australia.
Aust N Z J Obstet Gynaecol. 2004 Apr;44(2):107-10. doi: 10.1111/j.1479-828X.2004.00174.x.
To report the morbidity associated with the laparoscopic treatment of enteroceles and assess the durability of the repair.
Prospective observational study.
University Teaching Hospital.
Forty-five consecutive women with symptomatic enteroceles who underwent laparoscopic treatment of an enterocele.
Objective urogynaecological assessment using the pelvic organ prolapse quantification system.
The 11% incidence of anterior wall prolapse is lower than that associated with previous reports of surgical procedures to treat enterocele. There is a 4.4% incidence of major complications. The procedure has been demonstrated to have a 93% success rate at 3 years in treating enterocele.
The laparoscopic enterocele sac excision and vaginal vault suspension fulfils Richardson's requirements for surgical correction of enterocele and provides an anatomic solution to the long-standing surgical dilemma of enterocele.
报告腹腔镜治疗直肠膨出的发病率，并评估修复的持久性。
前瞻性观察研究。
大学教学医院。
45例连续患有症状性直肠膨出并接受腹腔镜直肠膨出治疗的女性。
使用盆腔器官脱垂定量系统进行客观的泌尿妇科评估。
前壁脱垂发生率为11%，低于先前治疗直肠膨出手术的报告发生率。严重并发症发生率为4.4%。该手术在治疗直肠膨出方面已被证明3年成功率为93%。
腹腔镜直肠膨出囊切除术和阴道穹窿悬吊术符合理查森对直肠膨出手术矫正的要求，并为长期存在的直肠膨出手术难题提供了解剖学解决方案。
