[Disabling rectocele: rectal plication by perineal approach. Apropos of 20 cases].
Rectocele is a frequent rectal static disorder. Its usual clinical manifestation is a distressing outlet obstruction. Surgical treatments actually proposed are based on a trans-anal approach. Perineal approach has specific interests as shown on a consecutive series of 20 patients operated on between January 90 and January 92. The surgical modalities were, after mobilization of the recto-vaginal wall, careful concentric folding of the rectocele followed by suturing the rectal fascia and pre-anal levatorplasty without associated colpectomy. Results (mean follow-up: 15 months) showed: 1) anatomic correction obtained in 18 cases, without local complications, but one dyspareunia, 2) restoration of normal rectal evacuation in 16 cases. The 4 functional failures were observed in patients with associated anorectal disorders (anismus, colon inertia).
Clinique Chirurgicale II., Hôpital G. et R. Laennec, Nantes.
P A
PA
Lehur
S
S
Bruley Des Varannes
J
J
Moyon
V
V
Guiberteau-Canfrere
J
J
Le Borgne
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D012005:Rectal Prolapse / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012007:Rectum / Q000601:surgery*
Rectocèles invalidantes: plicature rectale par voie périnéale. A propos de 20 cas.