Autologous grafts: Fascia lata Rectus fascia Allografts: Human cadaveric dermis: AlloDerm (LifeCell Corporation, Branchburg, New Jersey, USA) FlexHD (Ethicon, Cornelia, Georgia, USA) Cadaveric fascia lata: Suspend Tutoplast (Mentor Corporation, Santa…
Fig. 24.1 Full-thickness rectal prolapse. (Courtesy of Justin A Maykel) Despite the myriad of choices for repair, recurrence rates can be as high as 47% for some of the procedures…
Fig. 3.1 The human bony pelvis seen from the front (top) and from below (bottom), showing the bones and main ligament structures of the pelvis supporting the pelvic floor The…
Fig. 17.1 Express procedure for intussusception. a A purpose-designed tunneller is inserted via the perineal wound (lateral to the vagina) upwards behind the pubic bone to emerge through the suprapubic…
Fig 14.1 STARR technique. a Rectal prolapse evaluated by exposing it through the circular anal dilator with a mounted gauze swab. b Three separate one-half (180°) purse-string sutures are made…
Drug Dose Frequency Tolterodine 1–2 mg TID Tolderodine LA 2–4 mg Once daily Oxybutynin 2.5–5 mg BID or TID Oxybutynin XL 5–15 mg Once daily Oxybutynin transdermal patch 3.9 mg/dL…
Fig. 25.1 Defecating proctogram at rest (left) and on evacuation (right). There is a normal anorectal angle at rest, with a reasonable pelvic lift and good anal canal length (left)….
Fig. 22.1 Front (a) and lateral (b) view of the pelvic organ prolapse suspension procedure. A V-shaped mesh is fixed to the anterior and lateral vaginal fornix (a, b). The…
Achille Lucio Gaspari and Pierpaolo Sileri (eds.)Updates in SurgeryPelvic Floor Disorders: Surgical Approach10.1007/978-88-470-5441-7_20 © Springer-Verlag Italia 2014 20. Rectopexy without Mesh Steven D. Wexner1 and Julie Ann M. Van Koughnett (1) Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA …
Achille Lucio Gaspari and Pierpaolo Sileri (eds.)Updates in SurgeryPelvic Floor Disorders: Surgical Approach10.1007/978-88-470-5441-7_19 © Springer-Verlag Italia 2014 19. Mesh Rectopexy (Ripstein, Orr-Loygue, Wells, and Frykman-Goldberg) Aldo Infantino1 and Andrea Lauretta1 (1) Department of General Surgery, Santa Maria dei…
