Oster S, Astrup A
Acta Obstet Gynecol Scand. 1981;60(5):493-5. doi: 10.3109/00016348109155466.
A new operation for large rectocele is described. The operation combines the method of posterior colporrhaphy with the principles of ventral hernia surgery using a submucosal dermis graft to reinforce the vaginal wall. Fifteen postmenopausal women were examined one to four years after treatment for rectocele with this method. All fifteen patients were cured of their symptoms. Only in one case was the anatomical result less perfect. On proper indications this operation is a good alternative to the existing methods of treating rectocele. The method is not difficult to perform for the surgeon familiar with colporrhaphy, and the operation it no more onerous for the patient than is a simple colporhaphy.
本文描述了一种针对大型直肠膨出的新手术。该手术将后阴道壁修补术的方法与腹疝手术的原则相结合,使用黏膜下真皮移植来加强阴道壁。15名绝经后女性在采用此方法治疗直肠膨出一至四年后接受了检查。所有15例患者的症状均得到治愈。仅1例的解剖学结果不太理想。在适当的适应症下,该手术是治疗直肠膨出现有方法的良好替代方案。对于熟悉阴道壁修补术的外科医生而言,该方法不难实施,而且对患者来说,该手术并不比简单的阴道壁修补术更麻烦。