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International Urogynecology Journal

, Volume 26, Issue 1, pp 145–146 | Cite as

Laparoscopic repair of recurrent lateral enterocele and rectocele

  • Ellen R. SolomonEmail author
  • Tyler M. Muffly
  • Tracy Hull
  • Marie Fidela R. Paraiso
IUJ Video
  • 446 Downloads

Abstract

It is difficult to determine what types of procedures should be attempted in patients who have recurrent prolapse. We present a case of recurrent lateral enterocele and rectocele after the patient had undergone multiple surgeries for pelvic organ prolapse (POP), including a vaginal hysterectomy, bladder-neck suspension, anterior colporrhaphy, site-specific rectocele repair, apical mesh implant, iliococcygeus vault suspension, and transobturator suburethral sling procedure. With recurrence, the patient underwent robot-assisted laparoscopic sacral colpopexy, tension-free vaginal tape transobturator sling insertion, rectocele repair, and perineorrhaphy with cystoscopy. She then presented with defecatory outlet obstruction and constipation and subsequently was treated with a stapled transanal rectal resection. The patient returned with continued defecatory dysfunction and a recurrent lateral enterocele and rectocele. The recurrence was treated laparoscopically using a lightweight polypropylene mesh. The postoperative period was uneventful. Two years later, the patient reported decreased defecatory symptoms and no further symptomatic prolapse.

Keywords

Enterocele Rectocele Laparoscopy Polydiaxenone mesh 

Notes

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Conflict of interest

None.

Supplementary material

ESM 1

(MP4 36313 kb)

References

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Copyright information

© The International Urogynecological Association 2014

Authors and Affiliations

  • Ellen R. Solomon
    • 1
    Email author
  • Tyler M. Muffly
    • 3
  • Tracy Hull
    • 4
  • Marie Fidela R. Paraiso
    • 2
  1. 1.Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic SurgeryBaystate Medical CenterSpringfieldUSA
  2. 2.Center for Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Desk A-81, Obstetrics, Gynecology, and Women’s Health InstituteCleveland ClinicClevelandUSA
  3. 3.Anschutz Medical CenterUniversity of ColoradoDenverUSA
  4. 4.Digestive Disease Institute, Division of Colorectal SurgeryCleveland ClinicClevelandUSA

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