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  • Title
  • 1. Introduction
  • 2. Surgical Approach
  • 3. Excise Anterior Wall Lappets
  • 4. Preparation of Posterior Wall
  • 5. Dissection
  • 6. Reduce Rectocele
  • 7. Trim Excess Vaginal Mucosa
  • 8. Vaginal Epithelium Closure
  • 9. Perineorrhaphy
  • 10. Finish Vaginal Epithelium Closure
  • 11. Final Rectal Exam
  • 12. Post-op Remarks

Article type:Descriptions of Clinical and Surgical Procedures

Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele

87798 views

Lori R. Berkowitz, MD; Patricia L. Hudson, MD
Massachusetts General Hospital

Obstetrics & Gynecology

Manuscript Format: Full Text

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Surgical Approach
      1. 3. Excise Anterior Wall Lappets
        1. 4. Preparation of Posterior Wall
          1. 5. Dissection
            1. 6. Reduce Rectocele
              1. 7. Trim Excess Vaginal Mucosa
                1. 8. Vaginal Epithelium Closure
                  1. 9. Perineorrhaphy
                    1. 10. Finish Vaginal Epithelium Closure
                      1. 11. Final Rectal Exam
                        1. 12. Post-op Remarks

                          1. Introduction

                          2. Surgical Approach

                          3. Excise Anterior Wall Lappets

                          4. Preparation of Posterior Wall

                          1. Incision
                          2. Inject Marcaine with Epinephrine

                          5. Dissection

                          1. Incision
                          2. Take Down Rectovaginal Tissue - Right Side
                          3. Take Down Rectovaginal Tissue - Left Side

                          6. Reduce Rectocele

                          1. Approach
                          2. Restore Rectovaginal Septum

                          7. Trim Excess Vaginal Mucosa

                          8. Vaginal Epithelium Closure

                          9. Perineorrhaphy

                          10. Finish Vaginal Epithelium Closure

                          11. Final Rectal Exam

                          12. Post-op Remarks

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                          Authors

                          Filmed At:

                          Massachusetts General Hospital

                          Article Information

                          Publication Date
                          Article ID269
                          Production ID0269
                          Volume2022
                          Issue269
                          DOI
                          https://doi.org/10.24296/jomi/269