FIELD: medicine.
SUBSTANCE: method involves excising posterior vaginal wall. Oval flap is cut out from allogenous dura mater transplant. Transversally corrugating sutures are applied to anterior rectal wall. Levators are mobilized. The flap is fixed with separate sutures to the rectum. U-shaped sutures are placed through levator with transplant being fixed with 2-3 sutures on the right and on the left side. The right and left levators are joined by suturing. Threads are tied in double-triple knot. Next, U-shaped sutures are tied with double-triple knot. Thread ends are cut off at the level of knot. Posterior wall wound is sutured separate loose sutures.
EFFECT: enhanced effectiveness of treatment; reliable rectovaginal septum fixation.
4 dwg
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