Fig. 6

Images of the posterior sagittal approach. a An incision (double arrow) is placed in the midline between the anus (single arrow) and coccyx (break line), deep into the layers to approach the rectum. b The rectum is taped and pushed aside to the right. The lateral wall of the vagina is lined with dots. c The anterior wall of the vagina is exposed after resection of the tumor. The dotted line indicates the edge of the vaginal wall. d Reconstruction of the vagina