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Khirurgii

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Year 2020 Vol. 28 No 4

REVIEWS

Y.V. PEROV 1, I.S. POPOVA 2, A.V. BYKOV 2

ENTEROCELE

City Clinical Emergency Hospital No25 1,
Volgograd State Medical University 2, Volgograd,
The Russian Federation

Enterocele is a common problem that is usually faced in practice by gynecologists, urologists and coloproctologists. This term in the medical literature refers to one of the disorders of the pelvic floor – a pelvic hernia containing loops of the small intestine. A pelvic hernia is a protrusion of the peritoneum between the rectum and the vagina. The content of the hernia sac can be not only the loops of the small intestine, but also the sigmoid, omentum or does not contain the abdominal organs at all, but in fact only a protrusion of the perineal body. It is difficult to determine the content of the bag during physical preoperative examination, it is only possible to reliably identify the bulge of the rectum in the back wall of the vagina. Thus, «enterocele» is not the preferred terminology. Pelvic floor prolapse is a complex and multifactorial process and enterocele is always accompanied by prolapse of one or more pelvic organs. The problems of treatment of enterocele consist in the correct choice of conservative and operative methods of treatment and their combinations. The purpose of the operation is to restore the normal supporting system of the vagina with a decrease in capacity and preservation of sexual function. Understanding pelvic anatomy, the pathophysiology of the vagina and posterior pelvis, and their role in clinical symptoms is crucial in the diagnosis and treatment of this disease. There are many approaches to surgical treatment of enterocele, and the experience of the surgeon and his preferences determine the choice of treatment method.

Keywords: enterocele, rectocele, pelvic organ prolapse, pelvic floor, hernia
p. 439-448 of the original issue
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Address for correspondence:
400131, Russian Federation,
Volgograd, sq. Pavshikh Boytsov 1,
Volgograd State Medical University,
the Department of Surgical
Diseases and Neurosurgery,
tel. office +7 (8442) 59-55-64,
e-mail: yvperov@list.ru,
Perov Yurii V.
Information about the authors:
Perov Yurii V., PhD, Coloproctologist, City Clinical Emergency Hospital No25, Volgograd, Russian Federation
https://orcid.org/0000-0003-4280-689X
Popova Irina S., MD, Professor of the Department of Surgical Diseases and Neurosurgery, Volgograd State Medical University, Volgograd, Russian Federation
https://orcid.org/0000-0002-1166-0579
Bykov Alexandr V., MD, Professor, Head of the Department of Surgical Diseases and Neurosurgery, Volgograd State Medical University, Volgograd, Russian Federation
https://orcid.org/0000-0001-9891-5150
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