METHOD FOR SURGICAL MANAGEMENT OF RECTAL PROLAPSE IN MEN Russian patent published in 2024 - IPC A61B17/00 A61F2/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to operative coloproctology. Peritoneum is incised along the medial surface of the mesentery of the sigmoid colon with the transition of the incision to the pelvic peritoneum. Posterior canal is formed along a posterior surface of the rectum between the mesorectal fascia and the sacral fascia to the pelvic floor muscles from 4 to 8 o'clock on a conditional clock face with a center located on the conditional axis of the rectum. Anterior canal is formed along an anterior surface of the rectum between a mesorectal fascia and an aponeurosis of Denonvillier to an inferior pole of prostate from 10 to 2 o'clock on the conditional clock face. Two mesh implants are placed and fixed in the formed canals for anterior rectopexy, as in Fig. 4, and posterior rectopexy, as in Fig. 5. Distal end of the posterior rectopexy implant is fixed to the levators, along the length of the implant – to the mesorectal fascia; distal end of implant for anterior rectopexy is fixed to mesorectal fascia. Narrowed proximal ends of the implants are brought together in the promontory area and fixed together to the promontory periosteum. Peritonisation of implants with peritoneal leaves is performed by continuous suture with an anchor suture with double plication of peritoneum of rectovesical pocket.

EFFECT: method provides the absence of recurrences of the disease during the follow-up period of not less than 12 months and achieving satisfactory functional results, reduces the risk of neurogenic pelvic disorders due to limited mobilization of rectum along the anterior wall in males with preservation of lateral neurovascular bundles.

1 cl, 5 dwg, 2 ex