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The laparoscopic approach is safer than open surgery, [4] and there is less risk of complications after the procedure. [24] There is also less blood loss, less pain after the procedure, shorter average length of stay in hospital and faster recovery. [8] [24] Rarely, the procedure must be converted into an open abdominal surgery. [7]
In gynecology, a rectocele (/ ˈ r ɛ k t ə s iː l / REK-tə-seel) or posterior vaginal wall prolapse results when the rectum bulges into the vagina. [1] Two common causes of this defect are childbirth and hysterectomy. [2] Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele. [1]
Sigmoidocele may be internal if it is only detectable on defecography, or external if it detectable without imaging and associated with a rectocele or rectal prolapse. [2] It is a type of posterior compartment prolapse. [4] Sigmoidocele may be classified according to size relative to the pubococcygeal line. [2] [note 1]
It is the surgical intervention for both cystocele (protrusion of the urinary bladder into the vagina) and rectocele (protrusion of the rectum into the vagina). [citation needed] The repair may be to either or both of the anterior (front) or posterior (rear) vaginal walls, thus the origin of some of its alternative names. [1] [2] [3]
What to expect after cataract surgery “Many patients notice significantly clearer vision within 24–48 hours, although full recovery can take a few weeks,” says Dello Russo. Some may have ...
When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [14] According to the FDA, serious complications are "not rare ...
Cul-de-sac hernias are the most difficult to diagnose during physical examination, and to distinguish from anterior rectocele or enterocele. [2] Furthermore, rectocele and cul-de-sac hernia may occur together. [3] Combined vaginal and rectal digital palpation may be used (examiner's thumb in vagina, index finger in anal canal). [11]
They unanimously agreed that surgery should be discouraged for pelvic floor dyssynergia, and instead that biofeedback/pelvic floor retraining was the first line treatment. When dyssynergia is present with major abnormalities like rectocele or rectal intussusception, biofeedback/pelvic floor retraining should be conducted before attempting surgery.