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The use of mesh or grafts to augment rectocele repair is still in its early stages. Although it's not yet possible to encourage widespread adoption or make universal recommendations, we can say with certainty that mesh or grafts should be used in carefully selected patients, and that the art of rectocele repair today involves making a clinical judgment about when to augment traditional techniques.
The concept of using grafts or mesh for rectocele repair--as well as for other hernias of pelvic organ support--makes sense. Their use can restore correct anatomical support by recreating and/or augmenting the fascial layer, enabling us to provide additional stability to ...