Laparoscopic rectocele repair using polyglactin mesh.
We assessed the efficacy of laparoscopic treatment of rectocele defect using a polyglactin mesh graft. From May 1, 1995, through September 30, 1995, we prospectively evaluated 20 women (age 38-74 yrs) undergoing pelvic floor reconstruction for symptomatic pelvic floor prolapse, with or without hysterectomy. Morbidity of the procedure was extremely low compared with standard transvaginal and transrectal approaches. Patients were followed at 3-month intervals for 1 year. Sixteen had resolution of symptoms. Laparoscopic application of polyglactin mesh for the repair of the rectocele defect is a viable option, although long-term follow-up is necessary.
Lyons
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Center for Women's Care and Reproductive Surgery, Suite F-6230, 1140 Hammond Drive, Atlanta, GA 30328, USA.
Winer
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WK
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006547:Hernia; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D017773:Pelvic Floor; D011098:Polyglactin 910; D011446:Prospective Studies; D012005:Rectal Prolapse / Q000601:surgery*; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014623:Vaginal Diseases / Q000601:surgery*
D011098:Polyglactin 910