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Published on: August 22, 2025
Laparoscopic treatment of enterocele: a 3-year evaluation
Jennifer R Cook1, Elvis I Seman, Robert T O'Shea
1Department of Obstetrics, Gynaecology and Reproductive Medicine, Flinders Medical Centre, Flinders Endogynaecology and Flinders University, Bedford Park, South Australia, Australia. Jenny.Cook@fmc.sa.gov.au
Objective:
To report the morbidity associated with the laparoscopic treatment of enteroceles and assess the durability of the repair.
Design:
Prospective observational study.
Setting:
University Teaching Hospital.
Population:
Forty-five consecutive women with symptomatic enteroceles who underwent laparoscopic treatment of an enterocele.
Main Outcome Measures:
Objective urogynaecological assessment using the pelvic organ prolapse quantification system.
Results:
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.
Conclusion:
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.
