A Enterocele Repair (small bowel prolapse) occurs when the tissues and muscles that hold the small bowel in place are stretched or weakened this is a vaginal hernia known as an Enterocele it is repaired by sewing the supportive layers together. This can cause the small bowel to move from its natural position and press against the wall of the vagina
Before the Procedure
Always tell your health care provider or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.
During the days before the surgery:
- You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.
- Ask your health care provider which drugs you should still take on the day of your surgery.
On the day of your surgery:
- You very often will be asked not to drink or eat anything for 6 – 12 hours before the surgery.
- Take the drugs your health care provider told you to take with a small sip of water.
Your health care provider or nurse will tell you when to arrive at the hospital
Enterocele Repair Procedure
Enteroceles Repair Procedures are usually repaired through the vagina unless there is another health problem that would require an abdominal incision.
Enterocele Repair is where the pubocervical and rectovaginal fascia (supportive layers) are sewn together, repairing the vaginal hernia known as an Enterocele. Most patients who have done an Enterocele repair also need a vaginal vault suspension. In many cases the Enterocele is further supported or repaired with the use of mesh. This can be part of the vault suspension or Rectocele repair.
After Enterocele Repair
General anesthesia is usually used for a Enterocele Repair. You may stay in the hospital from 1 to 2 days. Most women can return to their normal activities in about 6 weeks. Avoid strenuous activity for the first 6 weeks. And increase your activity level gradually.
Normal bowel function returns within 2 to 4 weeks. It is important to avoid constipation during this time. Your doctor will give you special bowel care instructions. But it is important to include sources of fiber and adequate fluids in your diet. Try to drink about 6 to 8 glasses of water a day.
Risks of the procedure
As with any surgical procedure, complications may occur. Some possible complications of Enterocele Repair may include, but are not limited to, the following:
- Urinary retention
- Bladder injury
- Bowel or rectal injury
- Painful intercourse
- Formation of an abnormal connection or opening between two organs (fistula).
There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor prior to the procedure.