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Posterior Compartment:Rectocele Reconstruction

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Female Pelvic Reconstructive Surgery

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Abstract

The posterior vaginal wall prolapses when visceral contents herniate through the “fascia” or fibro- muscular posterior wall of the vagina or through a disruption of these fascial attachments to the uterosacral-cardinal ligament complex, levator fascia, or perineal body. Herniation of the rectum is called a rectocele (Fig. 14.1); herniation of peritoneal contents may be called a culdocele, enterocele, peritoneocele, or sigmoidocele, depending on the contents of the hernia sac.

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References

  1. Goff BH (1931) Histological study of the perivaginal fascia in a nullipara. Surg Gynecol Obstet 52:32–42.

    Google Scholar 

  2. Milley PS, Nichols DH (1968) A correlative investigation of the human rectovaginal septum. Anat Ree 163:443–4.

    Article  Google Scholar 

  3. Ricci JV, Lisa JR, Thom CH, Kron WL (1947) The relationship of the vagina to adjacent organs in reconstructive surgery:a histologic study. Am J Surg 74:387–410.

    Article  PubMed  CAS  Google Scholar 

  4. Ricci JV, Thorn CH, Kron WL (1948) Cleavage planes in reconstructive vaginal plastic surgery. Am J Surg 76:354–63.

    Article  PubMed  CAS  Google Scholar 

  5. Weber AM, Walters MD (1995) What is vaginal fascia? A U G S Q Rep 13(3).

    Google Scholar 

  6. Lyons TL, Winer W (1997) Laparoscopic rectocele repair using polyglactin mesh. J Am Gynecol Laparosc 4:381–384.

    Article  CAS  Google Scholar 

  7. Watson SJ, Loder PB, Halligan S et al. (1996) Transperineal repair of symptomatic rectocele with Marlex mesh:a clinical, physiological and radiologic assessment of treatment. J Am Coll Surg 183:257–61.

    PubMed  CAS  Google Scholar 

  8. Kohli N, Karram MM (1998) Use of cadaveric fascia in the treatment of posterior vaginal wall prolapse (abstract). 19th Annual Scientific Meeting of American Urogynecologic Society, 1998, Washington, DC.

    Google Scholar 

  9. Richardson CA (1993) The rectovaginal septum revisited. Its relationship to rectocele and its importance in rectocele repair. Clin Obstet Gynecol 36:976–83.

    Article  PubMed  CAS  Google Scholar 

  10. Miklos JR, Kohli N, Lucente V, Saye W (1998) Site-specific fascial defects in the diagnosis and surgical management of enterocele. Am J Obstet Gynecol 179 (6):1418–23.

    Article  PubMed  CAS  Google Scholar 

  11. Marks MM (1967) The rectal side of the rectocele. Dis Colon Rectum 10:387–8.

    Article  PubMed  CAS  Google Scholar 

  12. Halligan S, Bartram CI, Hall C, Wingate J (1996) Enterocele revealed by simultaneous evacuation proctography and peritoneography:does defecation block exist? Am J Roetngenol 167:461–6.

    CAS  Google Scholar 

  13. Mellgren A, Johansson C, Dolk A et al. (1994) Enterocele demonstrated by defaecography is associated with other pelvic floor disorders. Int J Colorect Dis 9:121–4.

    Article  CAS  Google Scholar 

  14. Meigs JV (1947) Enterocele or posterior vaginal hernia. Surg Clin North Am 27:1226–30.

    PubMed  CAS  Google Scholar 

  15. Bump RC, Mattiasson A, Bo K et al. (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17.

    Article  PubMed  CAS  Google Scholar 

  16. Baden W, Walker T (1992) Surgical Repair of Vaginal Defects. JB Lippincott, Philadelphia.

    Google Scholar 

  17. Mellgren A, Anzen BV, Nilsson BY et al. (1995) Results of rectocele repair. A prospective study. Dis Colon Rectum 38:7–13.

    Article  PubMed  CAS  Google Scholar 

  18. Janssen LWM, Dijke CF van (1994) Selection criteria for anterior rectal wall prolapse. Dis Colon Rectum 37:1100–1107.

    Article  PubMed  CAS  Google Scholar 

  19. Goff BH (1928) A practical consideration of the damaged pelvic floor with a technique for its secondary reconstruction. Surg Gynecol Obstet 46:855–866.

    Google Scholar 

  20. Arnold MW, Stewart WR,Aguilar PS (1990) Rectocele repair. Four years’ experience. Dis Colon Rectum 33:684–687.

    CAS  Google Scholar 

  21. Francis WJA, Jeffcoate TNA (1961) Dyspareunia following vaginal operations. J Obstet Gynaecol Br Comm 68:1–10.

    Article  CAS  Google Scholar 

  22. Haase R, Skibsted L (1988) Influence of operations for stress incontinence and/or genital descensus on sexual life. Acta Obstet Gynecol Scand 67:659–61.

    Article  PubMed  CAS  Google Scholar 

  23. Kahn MA, Stanton SL (1997) Posterior colporrhaphy:its effects on bowel and sexual function. Br J Obstet Gynaecol 104:82–6.

    Article  PubMed  CAS  Google Scholar 

  24. Kahn MA, Stanton SL (1997) Letter to the editor. Br J Obstet Gynecol 104:972–3.

    Google Scholar 

  25. Cundiff GW, Weidner AC, Visco AG et al. (1998) An anatomic and functional assessment of the discrete defect rectocele repair. Am J Obstet Gynecol 179 (6):1451–7.

    Article  PubMed  CAS  Google Scholar 

  26. Porter WE, Steele A, Walsh P et al. (1999) The anatomic and functional outcomes of defect-specific rectocele repairs. Am J Obstet Gynecol 181 (6):1353–9.

    Article  PubMed  CAS  Google Scholar 

  27. Kenton K, Shott S, Brubaker L (1999) Outcome after rectovaginal fascia reattachment for rectocele repair. Am J Obstet Gynecol 180 (6):1360–4.

    Article  Google Scholar 

  28. Øster S, Astrup A (1981) A new vaginal operation for recurrent and large rectocele using dermis transplant. Acta Obstet Gynecol Scand 60:493–5.

    Article  PubMed  Google Scholar 

  29. Soergel T, Heit M (1998) Suburethral slings utilizing rectus abdominus versus donor fascia lata:a retrospective study comparing objective cure rates. AUGS 19th Annual Scientific Meeting, November 1998, P27.

    Google Scholar 

  30. Sehapayak S (1985) Transrectal repair of rectocele:an extended armamentarium of colorectal surgeons. A report of 355 cases. Dis Colon Rectum 28:422–33.

    Article  PubMed  CAS  Google Scholar 

  31. Sullivan ES, Leaverton GH, Hardwick CE (1968) Transrectal perineal repair:an adjunct to improved function after anorectal surgery. Dis Colon Rectum 11:106–14.

    Article  PubMed  CAS  Google Scholar 

  32. Khubchandani IT, Sheets JA, Stasik JJ et al. (1983) Endorectal repair of rectocele. Dis Colon Rectum 26:792–6.

    Article  PubMed  CAS  Google Scholar 

  33. Khubchandani IT, Clancy JP, Rosen L et al. (1997) Endorectal repair of rectocele revisited. Br J Surg 84:89–91.

    Article  PubMed  CAS  Google Scholar 

  34. Capps WR (1975) Rectoplasty and perineoplasty for the symptomatic rectocele:a report of fifty cases. Dis Colon Rectum 18:237–44.

    Article  PubMed  Google Scholar 

  35. Karlbom U, Graf WG, Hilsson S, Pa[o]hlman L et al. (1996) Does surgical repair of a rectocele improve rectal emptying? Dis Colon Rect 39:1296–1302.

    Article  CAS  Google Scholar 

  36. Murthy VK, Orkin BA, Smith LE, Glassman LM (1996) Excellent outcome using selective criteria for rectocele repair. Dis Colon Rect 39:374–8.

    Article  CAS  Google Scholar 

  37. Sarles JC, Arnoud M, Selezneff I, Olivier S (1989) Endo-rectal repair of rectocele. Int J Colorect Dis 4:167–71.

    Article  CAS  Google Scholar 

  38. Block IR (1986) Transrectal repair of rectocele using obliter- ative suture. Dis Colon Rectum 29:707–11.

    Article  PubMed  CAS  Google Scholar 

  39. Infantino A, Masin A, Melega E et al. (1995) Does surgery resolve outlet obstruction from rectocele? Int J Colorect Dis 10 (97):97–100.

    Article  CAS  Google Scholar 

  40. Kahn MA, Stanton SL, Kumar DA (1997) Randomized prospective trial of posterior colporrhaphy vs transanal reapir of rectocele:preliminary findings. Int Urogynecol J 8 (4):246.

    Google Scholar 

  41. Kahn MA, Stanton SL, Kumar D, Fox SD (1999) Posterior colporrhaphy is superior to the transanal repair for treatment of posterior vaginal wall prolapse. Neurourol Uro- dynamics 18:329 - 30.

    Google Scholar 

  42. Dam JH Van, Ginai JH, Gosselink M J et al. (1997) Role of defecography in predicting clinical outcome of rectocele repair. Dis Colon Rectum 40:201–7.

    Article  PubMed  Google Scholar 

  43. Siproudhis L, Dautreme S, Ropert A et al. (1993) Dyschezia and rectocele - a marriage of convenience? Physiologic evaluation of the rectocele in a group of 52 women complaining of difficulty in evacuation. Dis Colon Rectum 36:1030–6.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Magie A. Kahn
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Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, St. George’s Hospital Medical School, London, UK

    Stuart L. Stanton FRCS, FRCOG, FRANZCOG (Hon)

  2. Department of Urology, Southwestern Medical Center at Dallas, Dallas, Texas, USA

    Philippe E. Zimmern MD, FACS

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© 2003 Springer-Verlag London Limited

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Kahn, M.A. (2003). Posterior Compartment:Rectocele Reconstruction. In: Stanton, S.L., Zimmern, P.E. (eds) Female Pelvic Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-0659-3_14

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  • DOI: https://doi.org/10.1007/978-1-4471-0659-3_14

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-362-1

  • Online ISBN: 978-1-4471-0659-3

  • eBook Packages: Springer Book Archive

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