Block I R
Dis Colon Rectum. 1986 Nov;29(11):707-11. doi: 10.1007/BF02555314.
Rectocele is a condition that can be repaired transrectally with an obliterative suture technique. The obliterative suture is essentially a tightly drawn continuous lock-stitch suture that strangulates the tissues contained in the suture line, and causes them to slough, yet approximates the tissues at the base of the suture line, the submucosa, and muscularis layers and allows them to heal rapidly. This technique is bloodless, easy to perform, and effective as far as cure and relief of symptoms. The time required for repair of the rectocele is approximately 6 minutes. The presence of a rectocele should be sought for routinely in every proctologic examination in the female. If anorectal surgery is to be performed, the rectocele should be repaired coincidentally, even if the rectocele is asymptomatic. If the rectocele is symptomatic, it should be repaired even if no other anorectal procedure is contemplated. The transrectal obliterative suture technique appears to have advantages over the vaginal or other transrectal techniques and is the method of choice for the repair of rectocele.
直肠膨出是一种可以通过经直肠闭塞缝合技术进行修复的病症。闭塞缝合本质上是一种紧密牵拉的连续锁边缝合，它会勒紧缝合线内的组织，使其脱落，同时使缝合线底部的组织、黏膜下层和肌层相互靠近，促进其快速愈合。该技术不出血，操作简便，在治愈和缓解症状方面效果显著。修复直肠膨出所需时间约为6分钟。在女性的每次直肠检查中都应常规检查是否存在直肠膨出。如果要进行肛肠手术，即使直肠膨出无症状，也应同时修复。如果直肠膨出有症状，即使不考虑进行其他肛肠手术，也应进行修复。经直肠闭塞缝合技术似乎比经阴道或其他经直肠技术更具优势，是修复直肠膨出的首选方法。
