Transvaginal peritoneocele repair with anterior levatorplasty for patients with a rectocele and an enterocele.
Surg Today
; 51(5): 844-847, 2021 May.
Article
in En
| MEDLINE
| ID: mdl-33030652
ABSTRACT
Enteroceles and rectoceles are often identified as the cause of a vaginal mass and pelvic discomfort. The combination of a rectocele and an enterocele as pelvic organ prolapses is not infrequent; however, there are few reports on possible simultaneous treatments of these two conditions. We report a new and simple procedure for repairing an enterocele during a transvaginal anterior levatorplasty with posterior colporrhaphy for a rectocele repair. This technique involves making an excision in the peritoneal sac, with high ligation, and attaching the uterine cervix and/or cardinal ligament to the upper most part of the approximation of the levator muscles, to reinforce and lift the deep peritoneal sac. This procedure allows for transvaginal repair of both an enterocele and a rectocele. The enterocele is visualized by applying barium to the posterior vaginal wall during defecography.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Gynecologic Surgical Procedures
/
Rectocele
/
Herniorrhaphy
/
Hernia
Type of study:
Etiology_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Surg Today
Year:
2021
Document type:
Article
Affiliation country:
Japan