Transrectal circular proctoplasty in treatment rectocele
Abstract
Aim of investigation. To improve of treatment results of patients with rectocele.
Material and methods. Overall 97 patients with rectocele of the 1–3rd degrees after surgery with application of transrectal proctoplasty were investigated.
Results. At rectocele of 1-st and 2-nd degree when the diverticulum-like protrusion of rectal wall according to X-ray data, does not exceed 4 cm, modified transrectal circular resection of mucosal-submucosal layer of low ampullary region of rectum is indicated. At rectocele 4 to 5 cm in size transrectal proctoplasty of the rectum by A. Longo with application of two staplers is recommended. At presence rectocele over 5 cm in size it is rational to apply this procedure with additional strengthening of rectovaginal septum by allotransplant.
Conclusions. Application of transrectal proctoplasty allowed to achieve permanent cure in all patients with no relapses of disease during follow-up from 1 month to 5 years.
About the Authors
A. M. Kuzminov
ФГУ «ГНЦ колопроктологии» Минздравсоцразвития России
Russian Federation
Russian Federation
L. P. Orlova
ФГУ «ГНЦ колопроктологии» Минздравсоцразвития России
Russian Federation
Russian Federation
I. V. Zarodnyuk
ФГУ «ГНЦ колопроктологии» Минздравсоцразвития России
Russian Federation
Russian Federation
V. Yu. Korolik
ФГУ «ГНЦ колопроктологии» Минздравсоцразвития России
Russian Federation
Russian Federation
Yu. A. Dzhanayev
ФГУ «ГНЦ колопроктологии» Минздравсоцразвития России
Russian Federation
Russian Federation
Sh. T. Minbayev
ФГУ «ГНЦ колопроктологии» Минздравсоцразвития России
Russian Federation
Russian Federation
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Review
For citations:
Kuzminov A.M., Orlova L.P., Zarodnyuk I.V., Korolik V.Yu., Dzhanayev Yu.A., Minbayev Sh.T. Transrectal circular proctoplasty in treatment rectocele. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2011;21(5):75-81. (In Russ.)
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