Small bowel obstruction after vaginal vault suspension: a series of three cases.

Journal Article (Journal Article)

Surgical correction of pelvic organ prolapse is increasingly common. The vaginal approach is often favored secondary to its limited peritoneal cavity access and low complication rates. A thorough review of the literature revealed no previous reports of primary vaginal reconstructive surgery leading to small bowel obstruction (SBO). Three patients who underwent transvaginal hysterectomy, uterosacral ligament vaginal vault suspension, and other reconstructive procedures subsequently suffered from SBO. All patients failed conservative management and required surgery. All were treated with laparoscopy initially, but two patients required laparotomy to correct iatrogenic enterotomies. The complication of SBO should be considered in the post vaginal surgery patient with abdominal pain. Though laparoscopic surgery can be considered, our experience has been discouraging. Candidate selection is critical and care should be taken to avoid enterotomy.

Full Text

Duke Authors

Cited Authors

  • Ridgeway, B; Barber, MD; Walters, MD; Paraiso, MFR

Published Date

  • October 2007

Published In

  • Int Urogynecol J Pelvic Floor Dysfunct

Volume / Issue

  • 18 / 10

Start / End Page

  • 1237 - 1241

PubMed ID

  • 17387418

Digital Object Identifier (DOI)

  • 10.1007/s00192-007-0346-4


  • eng

Conference Location

  • England