Trattamento del rettocele e del prolasso mucoso del retto con escissione a lembi della mucosa con sutura manuale (Tecnica di “Delorme interna” modificata)

Rectocele is defined as an erniation of the anterior rectal and vaginal wall in the vaginal lumen due to the loss of rectovaginal septum. Rectal mucosal prolapse was characterized by the protrusion of the mucosa alone in the rectal lumen. The Authors, herein, reported the results of a new surgical technique with the excision of one or more mucosal or muco-muscolar flaps and reconstruction with Sequential Transfixed Stitch Technique (STST) using a anal retractor designed by them. The treatment of symptomatic rectocele and rectal mucosal prolapse with multiple excision of exceeding tissue flaps and the reconstruction with STST manually conducted showed optimal results for the surgical treatment of in our experience with a significant improvement of quality of life referred by the patients and absence of significant post-operative side effects.

Il rettocele viene defi nito una erniazione della parete anteriore del retto e posteriore della vagina all’interno di quest’ultima causata da un cedimento della fascia retto-vaginale. Per prolasso mucoso del retto s’intende la protrusione della sola mucosa nel lume rettale. Gli Autori illustrano i risultati relativi al trattamento chirurgico del rettocele e del prolasso mucoso del retto mediante una nuova tecnica operatoria con escissione di uno o più lembi mucosi a muscolo-mucosi e ricostruzione con sutura manuale , usando i divaricatori ideati dagli stessi autori.