In simple words: This surgery fixes a bulge in the vagina caused by the intestines pushing through. The surgeon makes an incision in the vagina, repairs the bulge, and removes any extra vaginal tissue.

This procedure involves repairing a vaginal wall defect where the small bowel protrudes into the vaginal canal.The surgeon administers anesthesia, positions the patient in the dorsal lithotomy position, and inserts a Foley catheter.The enterocele is grasped with clamps, and a midline incision is made through the vaginal fascia.The vaginal tissue is dissected until the sac is freely mobile. A rectal exam may be performed if the sac is difficult to distinguish from the rectum. The sac is then explored to rule out small bowel or omental adhesions, closed with sutures, and excess vaginal wall is removed. Vaginal packing is inserted.

Example 1: A 65-year-old female patient presents with symptoms of vaginal bulge and pressure.A pelvic exam reveals an enterocele. The surgeon performs a vaginal enterocele repair (57268) as a separate procedure., A 50-year-old female patient undergoes a hysterectomy. During the procedure, the surgeon identifies and repairs a small enterocele (57268) to prevent future complications, billing it as an integral part of the hysterectomy., A 70-year-old female patient with a history of pelvic organ prolapse undergoes a vaginal enterocele repair (57268) along with a cystocele repair.Modifier 59 is appended to indicate that the enterocele repair is a distinct procedure.

Preoperative diagnosis, operative report detailing the surgical approach, repair technique, and any complications.Postoperative progress notes confirming successful repair and patient recovery.

** This procedure may be performed in conjunction with other pelvic floor surgeries. Accurate coding requires clear documentation of the specific procedure performed and any additional services provided.