A reapproximation of the perineal body (perineorrhaphy) addresses a perineal weakness, while a plication of the rectovaginal fascia
(posterior colporrhaphy) repairs a rectocele.
Conventional colporrhaphy involving midline plication of rectovaginal fascia
carries significant risks for mid-vaginal stenosis and dyspareunia, he said.
The snow-white-colored vaginal probe makes the laparoscopic identification of the enterocele sac and its margin much easier, and thus facilitates the resection of the sac and permits easier identification of the broken edges of both pubocervical and rectovaginal fascia
A strip of AlloDerm, usually 4 by 16 cm, is sutured to the perineal body overlying the rectovaginal fascia
repair during the procedure.