CPT® Code 57270

An enterocele repair is a surgical procedure aimed at correcting a specific type of hernia known as an enterocele. An enterocele occurs when a portion of the small intestine, along with the peritoneal sac, protrudes into the rectovaginal space, which is the area located between the back wall of the vagina and the front wall of the rectum. This condition can lead to various complications, including discomfort and functional issues. The procedure described by CPT® Code 57270 refers to the repair of an enterocele through an abdominal approach, distinguishing it from other methods, such as the vaginal approach outlined in CPT® Code 57268. During the abdominal approach, a surgical incision is made in the lower abdomen to access the affected area. The peritoneum is then incised at the vaginal cuff, allowing the surgeon to identify and expose the enterocele sac. The procedure involves incising the sac, repositioning the small bowel back into the abdominal cavity, and subsequently ligating and resecting the sac. The repair of the endopelvic fascia is a critical component of this procedure, which can be accomplished using various techniques, such as the Halban or Moschcowitz repair methods. These techniques aim to reinforce the pelvic support structures and prevent the recurrence of the enterocele, ensuring a more stable anatomical position of the pelvic organs.