Clinical, physiological and radiologiocal assessment of rectovaginal septum reinforcement with mesh for complex rectocele (Br J Surg 2008; 95: 1264-72) (letter)

Title: Clinical, physiological and radiologiocal assessment of rectovaginal septum reinforcement with mesh for complex rectocele (Br J Surg 2008; 95: 1264-72) (letter)
Creator: Zbar, A. P.; Ansari, A.
Relation: British Journal of Surgery Vol. 96, Issue 3
Publisher Link: http://dx.doi.org/10.1002/bjs.6582
Publisher: Wiley
Resource Type: journal article
Date: 2009
Description: We congratulate D’Hoore and colleagues on excellent results combining laparoscopic ventral rectopexy, perineal mesh, rectal/levator fixation, levatorplasty and mesh sacropexy. This ‘belt-and-braces’ approach, recently reported by others, confuses the range of conditions to which the authors refer. Separation of this eclectic group of patients needs to be made between those with obstructed defaecation who have a correctable rectocele with a coincident enterocele, vaginal vault prolapse or a perineocele. In this study it is unclear how many patients were posthysterectomy, where enteroceles with or without vault prolapse are more common when hysterectomy was not combined with a sacrocolpopexy or culdeplasty.
Subject: rectoceles; prolapse; enteroceles; hysterectomy
Identifier: uon:6813
Identifier: http://hdl.handle.net/1959.13/805214
Identifier: ISSN:0007-1323

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