Endorectal repair of rectocele revisited

Abstract

This study demonstrates the validity of a simple technique of transanal repair of rectocele in an ambulatory setting. Minimal morbidity and successful outcome can be achieved with this procedure.

Outcomes After Transanal Repair of Rectoceles

“…Anatomic and functional improvements with this technique have been described by many authors in both prospective and retrospective studies. [7][8][9][10][11][12][13][14][15][16][17][18] In the present study, we sought to demonstrate improvement in bowel function after transanal rectocele repair using a validated scoring system and to compare these postoperative results to those reported by a control group of asymptomatic patients.…”

Langzeitergebnisse nach transanaler Rektumwandresektion mittels Stapler bei der obstruktiven Defäkationsstörung

“…Für die Therapie der symptomatischen Rektozele wurden verschiedene transanale, perineale und transvaginale Operationsverfahren vorgestellt, die mit einer mittleren Erfolgsrate von etwa 80% verbunden sind [1,26,29,33]. Bei der Behandlung der symptomatischen distalen Intussuszeption reichen die Verfahren von der transanalen Mukosaresektion bis zur abdominellen Rektopexie, ohne dass die bisherigen Literaturergebnisse klare Behandlungsstrategien aufzeigen konnten [2,4,16,18].…”

Techniques of rectocele repair and their effects on bowel function

“…Finally, Sullivan et al [72] described a totally transrectal approach, with transverse and longitudinal plication of the rectal wall following stripping of the anterior rectal mucosa, a modification of Delon'ne's operation for complete rectal prolapse [73]. Variations include plicating the rectal wall in two directions [61,72,74,76,77], transversely only [30,35,59], longitudinally only [19], puborectalis plication through the rectum [30,72,74], or by imbrication of the rectal wall transversely without mucosal dissection [63,75]. Most techniques expose the inner circular muscle, as seen in Fig.…”