A new vaginal operation for recurrent and large rectocele using dermis transplant

Area of Science:

• Surgical innovation in gynecology and pelvic reconstructive surgery.

Background:

• Rectocele, a common pelvic organ prolapse, can significantly impact women's quality of life.
• Existing surgical treatments for rectocele may have limitations or complications.

Purpose of the Study:

• To describe and evaluate a new surgical approach for large rectocele repair.
• To assess the efficacy and safety of this combined technique.

Main Methods:

• A novel surgical operation combining posterior colporrhaphy with ventral hernia repair principles.
• Reinforcement of the vaginal wall using a submucosal dermis graft.
• Evaluation of fifteen postmenopausal women one to four years post-surgery.

Main Results:

• Complete symptom resolution in all fifteen treated patients.
• Excellent anatomical outcomes, with only one case showing a less-than-perfect result.
• The procedure was found to be technically straightforward for surgeons experienced in colporrhaphy.

Conclusions:

• This new surgical method is a safe and effective alternative for treating large rectocele.
• The operation offers a favorable risk-benefit profile compared to existing treatments.
• The procedure is well-tolerated by patients, comparable to simple colporrhaphy.