Gynaecology, Posterior Repair
Posterior repair is performed in conjunction with perineorrhaphy to correct a rectocele and to reconstruct the perineal body. A rectocele is a hernia that develops when the perirectal fascia is insufficient to support the anterior rectal wall and the rectum prolapses through the levator sling. The strength of the posterior vaginal mucosa is insufficient to prevent prolapse of the anterior rectal wall.
The purpose of posterior repair is to plicate the perirectal fascia over the anterior rectal wall and provide a two layer closure of this hernia.