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Editorial
Good Post-operative Results Depend on Strict Patient Selection and Strict Operative Procedure
Yong Hee Hwang
Journal of the Korean Society of Coloproctology 2012;28(3):118-118.
DOI: https://doi.org/10.3393/jksc.2012.28.3.118
Published online: June 30, 2012

Department of Surgery, Sahmyook Medical Center, Seoul, Korea.

Correspondence to: Yong Hee Hwang, M.D. Department of Sugery, Sahmyook Medical Center, 82 Mangu-ro, Dongdaemun-gu, Seoul 130-711, Korea. Tel: +82-2-2210-3563, Fax: +82-2-2212-2673, hwangyon@hotmail.com

© 2012 The Korean Society of Coloproctology

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Post-operative results are variable. Some rectoceles might be caused by a paradoxical puborectalis contraction leading to an outlet obstruction and to disappointing surgical results [1]. Thus, an anorectal physiologic study including anal sponge (anal plug) electromyography should be performed for excluding non-relaxing puborectalis syndrome [2]. In that case, biofeedback therapy should be applied first. A vital point for a good post-operative result is the tightness (strength) of the reconstructed rectovaginal septum even though long-term post-operative results aredisappointing [3]. A larger decrease in the rectocele diameter means greater strength of the rectovaginal septum.
  • 1. Johansson C, Nilsson BY, Holmström B, Dolk A, Mellgren A. Association between rectocele and paradoxical sphincter response. Dis Colon Rectum 1992;35:503–509. ArticlePubMed
  • 2. Rosato GO, Lumi CM, Miguel AM. Anal sphincter electromyography and pudendal nerve terminal motor latency assessment. Semin Colon Rectal Surg 1992;3:68–74.
  • 3. van Dam JH, Hop WC, Schouten WR. Analysis of patients with poor outcome of rectocele repair. Dis Colon Rectum 2000;43:1556–1560. ArticlePubMed

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