[Clinical trial of rectocele repair with longitudinal incision and transverse suture on the vaginal posterior wall].
OBJECTIVE
To investigate the clinical efficacy of rectocele repair with longitudinal incision and transverse suture on the vaginal posterior wall.


METHODS
One hundred and forty-six patients with rectocele were enrolled in our study from August 1999 to August 2003. The patients were randomly divided into two groups, and received traditional repair with longitudinal incision and longitudinal suture (control group, n=74) or repair with longitudinal incision and transverse suture on the vaginal posterior wall (study group, n=72). The efficacy and complications were compared between the two groups.


RESULTS
In the study group,only one case (1.4%) had no effect, and the total effective rate was 98.7%. The mean course of treatment was (11.0+/- 1.9) days. Only two cases (2.7%) had postoperative complication. In the control group, 8 cases (11.1%) had no effect, and the total effective rate was 88.9%. The mean course of treatment was (17.4+/- 1.6) days. Twenty-nine cases (40.3%) had postoperative complications. There were significant differences in the efficacy and complications between the two groups (both P< 0.01).


CONCLUSIONS
The refined rectocele repair with longitudinal incision and transverse suture on the vaginal posterior wall has good efficacy with shorter curative period and less complications.
Tang
Xue-gui
XG
Departmente of Coloproctological, The Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan 637000, China. txg668nc@sohu.com
Wu
Zhi-jiu
ZJ
Du
Li-juan
LJ
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D020047:Rectocele / Q000601:surgery*; D013537:Sutures; D014621:Vagina / Q000601:surgery*