Document Detail


Clinical observation of a modified surgical method: posterior vaginal mesh suspension of female rectocele with intractable constipation.
MedLine Citation:
PMID:  23084670     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To explore the feasibility and effectiveness of a modified posterior vaginal mesh suspension method in treating female rectocele with intractable constipation.
DESIGN: Descriptive study (Canadian Task Force classification II-3).
SETTING: The study was performed in the Study Center for Female Pelvic Dysfunction Disease, Department of Obstetrics and Gynecology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China. The Study Center includes 15 physicians, most of whom have received advanced training in pelvic floor dysfunctional disease and can skillfully perform many types of operationsin patients with such disease. Almost 1500 operations to treat pelvic floor dysfunctional disease are performed every year at the center.
PATIENTS: Thirty-six women with rectocele with intractable constipation.
INTERVENTION: Posterior vaginal mesh suspension.
MEASUREMENTS AND MAIN RESULTS: All patients were followed up for 15 to 36 months. In 29 patients, the condition was cured completely; in 5 patients it had improved; and in 2 patients, the intervention had no effect. Insofar as recovery and improved results, the overall effectiveness rate was 94.4%.
CONCLUSION: Posterior vaginal mesh suspension is an effective, harmless, and convenient method for treatment of female rectocele with intractable constipation. It has positive short-term curative effects, with few complications and sequelae. However, the long-term effects of posterior vaginal mesh suspension should be evaluated.
Authors:
Ling Hong; Huai-Fang Li; Jing Sun; Jian-Long Zhu; Gui-Hai Ai; Li Li; Bo Zhang; Feng-Li Chi; Xiao-Wen Tong
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  19     ISSN:  1553-4669     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  684-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved.
Affiliation:
Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 200072, China.
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