Purpose: to summarize the update Literature on management of posterior vaginal compartment defect. Methods: A Medline search of the most relevant reviews regarding rectocele repair, was done. Thirty-seven important works were examined. Results: Literature research showed that transvaginal is more efficient than transanal approach to repair the posterior compartment defect. The Denonvilliers’ recto-vaginal septum is better restored with anatomic modulation by means of the vaginal route. The transanal approach is associated with more complications: rectal symptoms, infection, fistula. Anatomical recurrence rate is poorer after transvaginal surgery.

RECTOCELE: TRANSVAGINAL OR TRANSANAL APPROACHES FOR POSTERIOR COMPARTMENT DEFECT.

LEANZA, Vito;
2011

Abstract

Purpose: to summarize the update Literature on management of posterior vaginal compartment defect. Methods: A Medline search of the most relevant reviews regarding rectocele repair, was done. Thirty-seven important works were examined. Results: Literature research showed that transvaginal is more efficient than transanal approach to repair the posterior compartment defect. The Denonvilliers’ recto-vaginal septum is better restored with anatomic modulation by means of the vaginal route. The transanal approach is associated with more complications: rectal symptoms, infection, fistula. Anatomical recurrence rate is poorer after transvaginal surgery.
Rectocele; Perineal body; STARR
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11769/30959
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