Surgical Treatment of Rectal Prolapse (History of the Issue and Modern Perspective — Literature Review)
O. M. Biryukov,
A. A. Mudrov,
A. Yu. Titov,
I. V. Kostarev,
A. S. Lukianov,
E. E. Zharkov,
T. Yu. Shavrina,
S. I. Achkasov https://doi.org/10.22416/1382-4376-2025-1536-408
Abstract
Aim: to assess the data on the most common surgical interventions for rectal prolapse.
Key points. At present, there are more than 100 methods of surgical correction of rectal prolapse that are carried out by means of the perineal or abdominal approach. Perineal surgical approaches are mostly performed in elderly patients who suffer from severe concomitant diseases, as well as in cases of recurrent rectal prolapse. In other cases, the abdominal approach is preferred for surgical interventions. Currently, the most popular surgery is laparoscopic recto(colpo)sacropexy.
Conclusion. It is important to consider that the descending perineum syndrome is accompanied by a variety of clinical symptoms; therefore, patients with rectal prolapse require a personalized approach. Underestimation of these factors may lead to an unfavorable outcome of functional treatment and recurrence of rectal prolapse.
About the Authors
O. M. Biryukov
Ryzhikh National Medical Research Center for Coloproctology
Russian Federation
Russian Federation
Oleg M. Biryukov — Cand. Sci. (Med.), Senior Researcher of the Department of General and Reconstructive Coloproctology
123423, Moscow, Salyama Adilia str., 2
A. A. Mudrov
Ryzhikh National Medical Research Center for Coloproctology; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Andrey A. Mudrov — Dr. Sci. (Med.), Docent, Leading Researcher of the Department of General and Reconstructive Coloproctology, Ryzhikh National Medical Research Center for Coloproctology; Professor of the Department of Coloproctology, Russian Medical Academy of Continuous Professional Education
123423, Moscow, Salyama Adilia str., 2
A. Yu. Titov
Ryzhikh National Medical Research Center for Coloproctology
Russian Federation
Russian Federation
Alexander Yu. Titov — Dr. Sci. (Med.), Chief Researcher of the Department of General and Reconstructive Coloproctology
123423, Moscow, Salyama Adilia str., 2
I. V. Kostarev
Ryzhikh National Medical Research Center for Coloproctology; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Ivan V. Kostarev — Dr. Sci. (Med.), Docent, Head of the Department of General and Reconstructive Coloproctology, Ryzhikh National Medical Research Center for Coloproctology; Professor of the Department of Coloproctology, Russian Medical Academy of Continuous Professional Education
123423, Moscow, Salyama Adilia str., 2
A. S. Lukianov
Ryzhikh National Medical Research Center for Coloproctology
Russian Federation
Russian Federation
Anton S. Lukianov — Cand. Sci. (Med.), Coloproctologist of the Department of General and Reconstructive Coloproctology
123423, Moscow, Salyama Adilia str., 2
E. E. Zharkov
Ryzhikh National Medical Research Center for Coloproctology
Russian Federation
Russian Federation
Evgeny E. Zharkov — Cand. Sci. (Med.), Senior Researcher of the Department of General and Reconstructive Coloproctology
123423, Moscow, Salyama Adilia str., 2
T. Yu. Shavrina
Ryzhikh National Medical Research Center for Coloproctology
Russian Federation
Russian Federation
Tatyana Yu. Shavrina — Attending Physician
123423, Moscow, Salyama Adilia str., 2
S. I. Achkasov
Ryzhikh National Medical Research Center for Coloproctology; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Sergey I. Achkasov — Dr. Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, Director, Ryzhikh National Medical Research Center for Coloproctology; Professor of the Department of Coloproctology, Russian Medical Academy of Continuous Professional Education
123423, Moscow, Salyama Adilia str., 2
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Biryukov O.M., Mudrov A.A., Titov A.Yu., Kostarev I.V., Lukianov A.S., Zharkov E.E., Shavrina T.Yu., Achkasov S.I. Surgical Treatment of Rectal Prolapse (History of the Issue and Modern Perspective — Literature Review). Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2025;35(2):61-68. https://doi.org/10.22416/1382-4376-2025-1536-408
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