Evaluation of the effectiveness of a new method of surgical treatment of rectal prolapse

Abstract

INTRODUCTION. Rectal prolapse is a common condition, in which there are conflicting opinions about the optimal surgical treatment.The OBJECTIVE was to improve the results of surgical treatment of rectal prolapse by developing a new method of surgical intervention using domestic implants and lasers.METHODS AND MATERIALS. The clinical part of the research covered the period from 2013 to 2023; in total, the results of operations in 102 patients with rectal prolapse of II–III degree were analyzed.RESULTS. The article presents the first clinical results of the proposed method of rectopexy in rectal prolapse of II–III degree. Due to the use of laser technologies and composite material on top of a mesh prosthesis, the new method made it possible to achieve stable hemostasis in the area of surgery, as well as to prevent the development of a local adhesive process and scar deformation in the area of fixation of the intestine with a prosthesis.CONCLUSION. In general, the developed version of rectopexy made it possible to reduce the frequency of long-term postoperative complications requiring additional surgical measures or (and) significantly affecting the quality of life of patients from 34.0 to 10.2 %, which ensured the improvement in the proportion of achieved good results of operations from 34.0 to 69.4 % and the reduction in the frequency of unsatisfactory results from 24.5 to 8.2 %.

Keywords

• rectum
• prolapse
• presacral fascia
• relapse
• mesh implant