Laparoscopic treatment of enterocele: a 3-year evaluation.

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.