Vaginal repair of rectocele after dynamic graciloplasty for fecal incontinence due to imperforate anus.
Int J Colorectal Dis
; 11(5): 243-5, 1996.
Article
en En
| MEDLINE
| ID: mdl-8951515
ABSTRACT
A 35-years-old woman developed obstructed defecation due to a large (6 cm) non-emptying rectocele one year after successful electrostimulated gracilis neosphincter operation for correction of fecal incontinence after surgery for imperforate anus. Surgical correction of the rectocele was performed by a trans-vaginal approach due to the poor elasticity of the neoanus and avoidance of possible damage to the neosphincter. After physiological investigations, including defecography, the patient had a resection of the posterior vaginal mucosal wall, a double layer plication of the muscular wall with non-absorbable suture and a longitudinal mucosal suture. The postoperative course was uneventful. Defecography, performed 3 and 6 months later, showed a marked reduction of the rectocele (2 cm) which corresponded to clinical improvement. Occurrence of disabling rectocele can be considered a possible long term complication after successful electrostimulated neosphincter procedure in patients at risk for developing a rectocele; a successful repair can be obtained using trans-vaginal approach without the risk of neosphincter damage. Transvaginal repair of rectocele in similar clinical situations may be recommended.
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Bases de datos:
MEDLINE
Asunto principal:
Canal Anal
/
Ano Imperforado
/
Complicaciones Posoperatorias
/
Vagina
/
Prolapso Rectal
/
Músculo Esquelético
/
Incontinencia Fecal
Tipo de estudio:
Etiology_studies
Idioma:
En
Revista:
Int J Colorectal Dis
Año:
1996
Tipo del documento:
Article
País de afiliación:
Italia