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[Transvaginal drainage in rectum amputations].

Helvetica Chirurgica Acta

|December 1, 1979

Summary

This summary is machine-generated.

This study details a surgical technique for abdominoperineal excision of the rectum, involving a monobloc excision and reconstruction of the posterior vaginal wall. The procedure facilitates easier postoperative care and vaginal reconstruction within three weeks.

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Area of Science:

Surgical Oncology
Gastrointestinal Surgery
Gynecologic Surgery

Context:

Abdomino-perineal excision of the rectum (APER) is a complex procedure.
Reconstruction of the posterior vaginal wall is a critical aspect of APER.
Current methods may present challenges in postoperative care and functional recovery.

Purpose:

To describe a surgical technique for monobloc excision of the posterior vaginal wall and rectum during APER.
To evaluate the ease of postoperative care and the efficacy of vaginal reconstruction.

Summary:

A monobloc excision of the posterior vaginal wall and rectum is performed.
Flaps are created, rotated, and sutured to the cavity walls.
Perineal fat and skin are approximated, and the reconstructed vagina is packed and irrigated with antiseptic.

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Impact:

The technique facilitates vaginal epithelialization within three weeks, reconstituting a normal vagina.
Postoperative care is significantly simplified.
This method offers an improved approach to vaginal reconstruction following APER.