Two-Level Plastic of the Pelvic Bottom in Surgical Treatment of Rectocele

Abstract

AIM. Improvement of treatment results in patients with the rectocele using of a two-level plastic of a pelvic bottom. METHODS. The plastic to a rectocele was carried out from the combined transvaginal and transrectal approach and consisted in sacrospinal-cardinal ligament, the colporrhaphy added transrectal «11 hours» with a mucopexy on height to 5 cm from the dental line. RESULTS. The remote results of treatment were tracked in terms from 12 months till 5 years after operation (a median of 3,5 years). In the studied group the «good» result was noted at 37 (75,5 %) patients, «satisfactory» and «unsatisfactory» - at 11 (22,4%) and 1 (2,0%) patients, respectively. Recurrence of a disease was taped at only 1 patient (2 %). CONCLUSION. The two-level pelvic plastic with the combined vaginal and transrectal access is associated with short operating time of 50 min., intraoperative blood loss about 150 ml and low perioperative morbidity.

Terminological aspects of morphology of the human perineal body and associated muscles

“…Авторы подчеркивали именно «сухожильный» характер данного анатомического образования. В 14 других русскоязычных статьях наряду с «сухожильным» центром промежности встречаются одновременно другие термины: «тело промежности», «перинеальное (промежностное) тело», где авторы не делают акцент на морфологической составляющей этого анатомического образования [18][19][20]. Л.Р.…”