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Title
1. Introduction
2. Surgical Approach
3. Excise Anterior Wall Lappets
4. Preparation of Posterior Wall
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a. Identify Limits of Dissection
b. Inject Marcaine with Epinephrine
5. Dissection
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a. Incision
b. Take Down Rectovaginal Tissue - Right Side
c. Take Down Rectovaginal Tissue - Left Side
6. Reduce Rectocele
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a. Approach
b. 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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Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele
Lori R. Berkowitz, MD
;
Patricia L. Hudson, MD
Massachusetts General Hospital
Tags:
General Surgery
Obstetrics & Gynecology
Multidisciplinary Surgery
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Procedure Outline
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Authors
Lori R. Berkowitz, MD
Patricia L. Hudson, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
6/15/2022
Article ID
269
Production ID
0269
Volume
2022
Issue
269
DOI
https://doi.org/10.24296/jomi/269