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Butterfly-shape incision was made along the junction of posterior vaginal mucosa and rectal mucosa. Sharp dissection was done to separate anterior wall of rectal mucosa from posterior vaginal wall creating a good rectovaginal space.
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The detailed surgical procedures were depicted in Figs 1-3 as shown below.
Identified anal mucosa, EAS and IAS. Anal mucosa was stitched interruptedly with an intraluminal knot. IAS was stitched with horizontal mattress.
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The detailed surgical procedures were depicted in Figs 1-3 as shown below.
EAS was stitched overlapping technique. Perineal muscle, vaginal mucosa and perineal skin were stitched. Continued with perineorrhaphy using PGA No. 2.0.
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The detailed surgical procedures were depicted in Figs 1-3 as shown below.