Chirurgische Operationsverfahren zur Therapie der Rektozele

Zusammenfassung

Zur chirurgischen Therapie der Rektozele sind mehrere Verfahren beschrieben: Transvaginale hintere Plastik, perinealer Zugang, transanaler Zugang. Der Verschluss der Rektozele durch die hintere Plastik sollte nur bei ausschließlichem Vorhandensein der Rektozele erfolgen. Bei Intussuszeption des Rektums und Rektozele (ODS) stellt die STARR-Operation das bessere Verfahren dar. Wichtig ist jedoch eine subtile Diagnostik der Rektumentleerungsstörung mit Endoskopie, dynamischem Defäkogramm und, falls möglich, dynamischem MRT. Eine Kolondarstellung zur Diagnostik der Enterozele ist wünschenswert.

Abstract

The surgical treatment for the rectocele offers several methods: transvaginal approach, perineal approach, transanal approach. These methods should be used if the rectocele is the only pathology. In presence of rectocele and rectal intussusception the STARR procedure is the method of choice. It is important to have a subtile preoperative diagnostic done as: dynamic defecatography, dynamic MRI, rigid endoscopy of the rectum, X-ray study of the colon for enterocele.

Rektozele - STARR-OP - Intussuszeption - ODS

rectocele - STARR procedure - intussusception - ODS

Literatur

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