METHOD FOR SURGICAL TREATING RECTOCELE Russian patent published in 2005 - IPC

FIELD: medicine, coloproctology.

SUBSTANCE: one should suture in the defects of anterior rectal wall, posterior vaginal wall, anterior portion of a muscle that lifts patient's anus followed by the plasty of rectovaginal septum. One should cut a fascial-muscular transplant including a distal end with above-situated leaf of broad femoral fascia. Then one should isolate proximal muscular end by keeping a vascular-nervous bundle as an intact one. Then one should dissect the muscle against pubic bone. Transplant should be turned at the angle of 140-150° in frontal plane in area of vascular-nervous pedicle. One should apply proximal end through the tunnel between anterior rectal wall and posterior vaginal wall. It is necessary to fix transplant's muscular part towards anterior semicircumference of external rectal sphincter. Then one should fix transplant's fascial section due to laparoscopic access to fascial rectal sheath being above the line of sutures and in its strained state. The innovation enables to prevent post-operational complications and increase reliability of plasty of rectovaginal septum.

EFFECT: higher efficiency of therapy.

2 dwg, 1 ex