Abdomino-Perineal Repair of Large Pulsion Enterocoele (A.P.R.E.)

  • Robert F. Zacharin


Hughes and Gleadell (1962) reported their experiences in 106 cases of complete rectal prolapse and of these patients, 17 had been managed with a synchronous combined pelvic fasciai repair, together with extended perineorrhaphy, and the essential features of their procedure included:
  1. 1)

    dissection and excision of the cul-de-sac

  2. 2)

    identification of both ureters from the pelvic brim to the broad ligaments, and then clearing the pelvic surface of each levator muscle mass

  3. 3)

    identification of the levator hiatus from above and below, and its closure by sutures passed from below through the right and left muscle masses, to be tied on the pelvic aspect

  4. 4)

    obliteration of the denuded pelvic cavity with a series of purse-string sutures, followed by high peritoneal closure and finally

  5. 5)




Anal Canal Vaginal Wall Rectal Prolapse Anterior Vaginal Wall Vaginal Vault 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Wien 1985

Authors and Affiliations

  • Robert F. Zacharin
    • 1
  1. 1.Department of GynecologyAlfred HospitalMelbourneAustralia

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