Nano M, Ferronato M, Solej M, D'Amico S
Third Section of General Surgery, Department of Clinical Pathophysiology, University of Turin, Via Genova 3, I-10126 Turin, Italy.
Tech Coloproctol. 2007 Jun;11(2):149-51. doi: 10.1007/s10151-007-0346-x. Epub 2007 May 25.
We have developed a transvaginal technique for rectocele repair which we believe to be particularly suitable for older woman. A transverse incision was made in the mucocutaneous border of the vaginal introitus. The rectal wall was separated from the rectovaginal septum. The vaginal wall was divided in the middle. The first flap was sewn to the second and this onto the first. This intervention permits the contemporary correction of other pathologies frequently found in older women, such as cystocele and prolapse of the uterus. Twenty-two elderly women underwent operations using this technique; the mean follow-up period was 48 months (range, 24-84 months). The need to assist evacuation digitally disappeared in all patients.
我们开发了一种用于直肠膨出修复的经阴道技术，我们认为该技术特别适用于老年女性。在阴道入口的黏膜皮肤交界处做一横切口。将直肠壁与直肠阴道隔分离。阴道壁在中间分开。第一个皮瓣缝到第二个皮瓣上，然后第二个皮瓣再缝到第一个皮瓣上。这种干预措施能够同时矫正老年女性常见的其他病症，如膀胱膨出和子宫脱垂。22名老年女性接受了使用该技术的手术；平均随访期为48个月（范围为24 - 84个月）。所有患者均不再需要用手指辅助排便。
