| Combined parasacral, vaginal and endorectal approach in surgical treatment of giant rectocele. | |
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MedLine Citation:
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PMID: 17139884 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Authors operated on their Surgical departement 67 years old women with incomplete evacuation, and digital support during defecation, giant rectocele and massive vaginal vault prolaps. Authors realized cinedefecography and detected giant rectocele, depth was 8 cm, anorectal angle was 120 degrees. They stated Resting pressure 40 cm H2O, and Maximum squeeze pressure 50cm H2O by anorectal manometry. Authors verified external anal sphincters defect by endoanal ultrasound and determined Pudendal nerve terminal motor latency (PN TML) and recorded pathologic values of n.pudendal latency ( left branch 2,7 msec., right branch 4,3 msec). In concerning massive vaginal vault prolaps, huge rerectocele and clinical incompletely evacuation with self digital support during defecation with present defect od external anal sphincters and pathologic values of PN TML, authors indicated and made combined transvaginal, endorectal and perineal reconstructive operative performance. In the present time two years after the surgery radiologic mean depth of the rectocele was significantly reduced (preoperatively 8cm; postoperatively 1 cm). Anorectal angle is 100 degrees. Values of the PN TML is normaly (left branch of n. pudendalis 1,7 msec and right branch of n. pudendalis 1,9 msec). Authors recorded Resting pressure 60 cm H2O and Maximum squeeze pressure 110 cm H2O by anorectal manometry. They didnt visualized any external anal sphincters defect by anal ultrasound. Postoperatively difficult evacuation completely disappeared and digital support was no longer necessary during evacuation. |
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Authors:
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J Korcek; E Bakos; A Farkas |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta chirurgica Iugoslavica Volume: 53 ISSN: 0354-950X ISO Abbreviation: Acta Chir Iugosl Publication Date: 2006 |
Date Detail:
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Created Date: 2006-12-04 Completed Date: 2007-02-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372631 Medline TA: Acta Chir Iugosl Country: Serbia and Montenegro |
Other Details:
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Languages: eng Pagination: 43-9 Citation Subset: IM |
Affiliation:
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Surgical Clinic, Section of Colorectal Surgery, Faculty Hospital Nitra, Slovak Republic. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Digestive System Surgical Procedures / methods Female Humans Rectocele / pathology, radiography, surgery* |
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