Détail de la notice
Titre du Document
Diagnosis and assessment of sigmoidoceles. Discussion
Auteur(s)
FENNER D. E. ; HALES D. (Commentateur)
Corporation(s) du ou des auteurs
Society of Gynecologic Surgeons USA (Commanditaire)
Résumé
OBJECTIVE: This study analyzed the clinical presentation, incidence, characteristics as demonstrated by defecating proctography, and surgical outcomes of sigmoidoceles. STUDY DESIGN: Defecating proctograms were obtained on all women with clinical evidence of pelvic floor defects between June 1, 1991, and June 30, 1995. The proctograms were retrospectively reviewed for the presence of a sigmoidocele and concomitant pelvic hernias. The distance between the maximum point of sigmoid descent with strain and the perineal body was measured. A chart review was performed to obtain clinical history, physical examination results, surgical treatment, and outcome. RESULTS: Nine sigmoidoceles (4.0%) were noted in 234 defecating proctograms. The leading edge of the sigmoid hernia ranged from 3.8 cm beyond the perineal body to 8 cm above the perineal body. All nine patients were found to have concomitant rectoceles by proctography, whereas only three were found to have enteroceles. Physical examination before proctography suggested that six patients had vaginal vault prolapse with enterocele, one patient had uterine prolapse with enterocele, and two patients had rectoceles alone. Five of the seven patients clinically diagnosed with an enterocele showed no small bowel herniation on defecography. No sigmoidoceles were suspected by physical diagnosis alone. All rectoceles were diagnosed by clinical examination. All patients except one, who had concomitant rectal prolapse, complained of constipa
Editeur
Elsevier
Type du document
Conférence : Annual Meeting of the Society of Gynecologic Surgeons, 22, Albuquerque, New Mexico, USA, 1996-03-04
Identifiant
PMID : 8987922 ISSN : 0002-9378 CODEN : AJOGAH
Source
American journal of obstetrics and gynecology A. 1996, vol. 175, n° 6, pp. 1438-1442 [bibl. : 8 ref.]
Langue
Anglais
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