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Perioperative management - Ventral rectocele plication according to Delorme

general and visceral surgery
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Anatomy Perioperative management Technique Complications Evidence Total Video

  1. Indications

    • Symptomatic ventral rectoceles that cannot be adequately treated conservatively.

  2. Contraindications

    • local inflammatory changes

  3. Preoperative Diagnostics

    • Proctological basic examination: Anoscopy, Proctoscopy, Rectoscopy
    • Further specific diagnostics depending on accompanying changes

  4. Special Preparation

    • Enema on the day of surgery
    • Alternative: Bowel lavage (not evidence-based)

  5. Information

    General:

    • Bleeding
    • Thrombosis
    • Embolism etc.

    Specific:

    • Rectovaginal fistula
    • Stenosis
    • Dehiscence of the suture with secondary healing
Anesthesia

Depending on the general condition of the patient:Intubation anesthesia (Intubation anesthesia,&#xA

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general and visceral surgery

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