(1) Rectum, (2) femoral head, (3) symphysis pubis, (4)
ischiorectal fossa, and (5) urethra.
Anoscopy was performed, which identified a left posterior fistula, communicating with the left
ischiorectal space, which was identified to be the initiating site of this soft tissue necrotizing infection.
Schuchardt incision starts from the same place as lateral episiotomy, but with a slightly smaller angle and in a gentle curve passes laterally to the rectum to
ischiorectal fossa.
Perineal closure method was performed as per surgeon choice and was obtained by primary closure in the majority of patients by closing the
ischiorectal, subcutaneous fat and skin in layers.
Ischiorectal fossa block decreases post hemorrhoidectomy pain: randomized, prospective, double - blind clinical trial.
Perineal hernia is characterized by disruption of pelvic diaphragm and herniation of abdominal or pelvic organs through the
ischiorectal fossa in perineal sac especially in middle aged or aged intact male dogs (Stoll et al, 2002, Head et al, 2002, Gilley et al., 2003, Bellenger and Canfield 2003, Bongartz et al., 2005).
Abdominal examination showed the uterus to be well retracted, but there was a left
ischiorectal fossa swelling.
To provide a barrier layer for the urethroplasty, bilateral pedicle flaps of perineal and
ischiorectal fat were mobilized.
The procedure was completed with the placement of one drainage tube near the mesh and the closure of the
ischiorectal fat and skin.
The long fistula was divided in the
ischiorectal fossa through a fresh incision.
This mesh has more than 150 associated complications, including obturator nerve injuries, extensive blood loss, and
ischiorectal fossa abscesses.
One woman had
ischiorectal abscess and required abscess drainage through the vaginal route.