Application of synthetic and biological implants for fixation of rectovaginal septum in rectocele repair

Abstract

OBJECTIVE. Comparative assessment of results was made in application of synthetic and biological implants for rectocele repair. MATERIAL AND METHODS. The patients (n = 61, aged 34-61 years old) underwent operation concerning an isolated rectocele at the period from 2012 to 2015. Diamond-shaped plasty was performed using transvaginal approach. Synthetic composite mesh was used in 33 patients of the first group and biologic implant was applied in 28 women of the second group. RESULTS. Defecography showed reduction of middle size of rectocele in both groups in term of one year after surgery. However, the difference was insignificant in patients with biological implants. According to individual comparative analysis, the patients (n =9 (32,1 %) of the second group had the same size of rectocele as it was in preoperative period, but only 3 (9,1 %) patients of the first group had the same proportion. CONCLUSIONS. The anatomic results were significantly worse after application of biological implants, which appeared to be less reliable.