Zacharin R F
Obstet Gynecol. 1980 Feb;55(2):135-40.
Pulsion enterocele has a well-deserved reputation as a difficult surgical problem; the multiplicity of suggested solutions attests to this. Until the functional anatomy of the pelvic floor is better understood, particularly the specific anatomic defects involved, planning of a rational surgical attack will remain elusive. Both the pelvic cellular tissues and the levator ani complex are involved in the genesis of the condition, and both require correction during any surgical procedure. The supporting effect of the levator complex and the positioning effect of the cellular tissues must be restored.
直肠膨出作为一个棘手的外科问题，可谓声名在外；众多提出的解决方案就证明了这一点。在更好地理解盆底的功能解剖结构，尤其是所涉及的具体解剖缺陷之前，合理手术方案的规划仍将难以实现。盆腔蜂窝组织和肛提肌复合体都与该病的发生有关，在任何手术过程中都需要对二者进行矫正。必须恢复肛提肌复合体的支撑作用以及蜂窝组织的定位作用。
