In SSL anorectal-digital exploration and careful, slow manual sphincter dilation. Then insertion of the Parks retractor.
Injection of the anterior rectal mucosa, horizontal mucosal incision 5-8 mm proximal to the dentate line, and careful excision of a longitudinally oval mucosal area up to 10 x 8 cm in size in the oral direction with diathermy, preserving/exposing the underlying musculature. It should be prepared semicircularly from 9 to 3 o'clock horizontally and along the entire length of the rectocele vertically.
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Findings Collection; Preparation of an Anterior Mucosal Flap
![Findings Collection; Preparation of an Anterior Mucosal Flap]()
Soundsettings -
Plication of the Musculature
![Plication of the Musculature]()
Soundsettings Stepwise vertical plication of the anterior rectal wall with several absorbable sutures (size 0). Typically, 5 to 8 sutures are required for this. The muscularis can be pleated accordion-style or fixed in three layers.
Resection of the Mucosa
Excision of the excess mucosa and then adaptation of the mucosal edges. ... - Operations in general
Excision of the excess mucosa and then adaptation of the mucosal edges. ... - Operations in general
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