Transvaginal peritoneocele repair with anterior levatorplasty for patients with a rectocele and an enterocele.


Journal

Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360

Informations de publication

Date de publication:
May 2021
Historique:
received: 28 07 2020
accepted: 20 08 2020
pubmed: 9 10 2020
medline: 22 9 2021
entrez: 8 10 2020
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 33030652
doi: 10.1007/s00595-020-02161-w
pii: 10.1007/s00595-020-02161-w
doi:

Substances chimiques

Barium 24GP945V5T

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

844-847

Références

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doi: 10.1007/BF02049817 pubmed: 7956583
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Auteurs

Kotaro Maeda (K)

International Medical Center, Fujita Health University Hospital, 1-98, Kutsukake, Toyoake, Aichi, 470-1192, Japan. kmaeda@fujita-hu.ac.jp.

Yoshikazu Koide (Y)

Department of Surgery, Fujita Health University School of Medicine, Toyoake, Japan.

Hidetoshi Katsuno (H)

Department of Surgery, Fujita Health University Okazaki Medical Center, Okazaki, Japan.

Tsunekazu Hanai (T)

Department of Surgery, Fujita Health University School of Medicine, Toyoake, Japan.

Koji Masumori (K)

Department of Surgery, Fujita Health University School of Medicine, Toyoake, Japan.

Hiroshi Matsuoka (H)

Department of Surgery, Fujita Health University School of Medicine, Toyoake, Japan.

Tomoyo Shi Endo (TS)

Department of Surgery, Fujita Health University Okazaki Medical Center, Okazaki, Japan.

Yeong Cheol Cheong (YC)

Department of Surgery, Fujita Health University School of Medicine, Toyoake, Japan.

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Classifications MeSH