A New Method of Surgical Enterocele Correction Using Mesh Implants
The aim of the investigation was to develop and evaluate a new method of enterocele correction by laparovaginal access. Materials and Methods. 23 women treated for the recurrent pelvic organ prolapse participated in the study. Group 1 included 13 patients after total hysterectomy by the vaginal and laparotomic access with concurrent correction of cystocele using mesh implants, group 2 consisted of 10 patients after organ-saving operations on the small pelvic organs in combination with ventrosuspension of the uterus by aponeurotic flaps and colpoperineoplasty. Results. Findings of the present study confirm the concept of polyetiology of pelvic organ prolapse and the increasing risk of enterocele formation following the operation, leading to impairment of normal anatomical interposition of the small pelvic organs and damage to the fascial and ligamentous apparatus. The developed method of a single-step, two-level laparovaginal correction of enterocele using mesh implants with their multipoint fixation is highly efficient, its application helps to improve operative treatment results and reduce the disease recurrence rate.