Emergency colpocleisis in a vaginal prolapse complicated by bowel evisceration - 02/02/21
Doi : 10.1016/j.jviscsurg.2021.01.002
M. De Boisredon a, F. Petitperrin b, C. Henry a, ⁎ 
a Visceral surgery department, hospital center of Valence, 26000 Valence, France
b Gynaecology-obstetrics department, hospital center of Valence, 26000 Valence, France
⁎Corresponding author. Centre hospitalier de Valence, 179, boulevard Maréchal Juin, 26000 Valence, France.Centre hospitalier de Valence179, boulevard Maréchal JuinValence26000France
Sous presse. Épreuves corrigées par l'auteur.
Disponible en ligne depuis le Tuesday 02 February 2021
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Highlights |
• | Vaginal evisceration of the small bowel represents a surgical emergency. |
• | If a vaginal prolapse is the cause of the evisceration, it must be treated during an operation in which sacrocolpopexy is not necessarily relevant. |
• | Colpocleisis is a back-up treatment for vaginal prolapse in women not wishing to engage in further vaginal intercourse. |
• | In cases where there exists doubt as to the vitality of the bowel loops reintegrated in the abdomen, it is necessary to associate abdominal approach by laparoscopy or laparotomy. |
Summary |
Vaginal evisceration of the small bowel is a surgical emergency insofar as it entails the risk of acute vascular lesions in the latter. It may be caused by a vaginal prolapse. Delayed treatment of a prolapse may entail the risk of poor scarring of vaginal suture, and sacrocolpopexy is not necessarily called for. In an 80-year-old female patient with repeatedly recurrent stage 4 vaginal prolapse, vaginal evisceration and vaginal prolapse were treated by perineal approach and emergency colpocleisis.
Le texte complet de cet article est disponible en PDF.Keywords : Vaginal evisceration, Hysterectomy, Prolapse, Colpocleisis
Plan
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Elsevier Masson SAS. Tous droits réservés.
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