Rectal Prolapse Treatment Methods, Devices, and Systems
Various surgical systems, devices and methods are provided for treating rectal prolapse, including a transobturator posterior rectal suspension method, a transobturator bilateral mesh arm rectal suspension method, a perineal approach rectal suspension method, a single incision perineal approach rectal suspension method, a single incision posterior rectal suspension method, and a perineal single incision rectopexy suspension method.
1 . A method of treating rectal prolapse, comprising:
providing an implant including a central support portion and first and second extending arms;
providing a needle introducer device having a distal end portion;
creating a transverse incision below the anus of a patient;
attaching the first arm to the distal end portion of the needle introducer;
passing a portion of the first arm through the obturator foramen;
attaching the second arm to the distal end portion of the needle introducer;
passing a portion of the second arm through the obturator foramen; and
positioning the central support portion of the implant generally flat against the rectum.
2 . The method of claim 1 , wherein the first and second arms further include distal anchors to pass through the obturator foramen.
3 . The method of claim 1 , wherein the needle introducer includes a generally helical needle portion.
4 . The method of claim 1 , wherein the central support portion is constructed of a mesh material.
5 . The method of claim 1 , wherein the first and second arms include distal portions to engage with the distal end portion of the needle device.
6 . The method of claim 5 , wherein passing a portion of the first arm through the obturator foramen further includes pulling the distal portion of the first arm through a thigh incision.
7 . The method of claim 1 , wherein the transverse incision below the anus is a Kraske incision.
8 . A method of treating rectal prolapse, comprising:
providing an implant including first and second generally T-shaped arms, each T-shaped arm having a base portion and an extension portion, wherein the extension portion extends generally transverse to the base portion.
creating bilateral vertical perianal incisions in a patient;
passing a portion of the extension portion of the first arm through the obturator foramen;
attaching the base portion of the first arm to a first side of the rectum;
passing a portion of the extension portion of the second arm through the obturator foramen; and
attaching the base portion of the second arm to a second side of the rectum.
9 . The method of claim 8 , further including providing a helical introducer needle device to connect to and deploy the first and second generally T-shaped arms.
10 . The method of claim 8 , wherein the base portion and the extension portion of the first and second arms are constructed of a mesh material.
11 . A system for treating rectal prolapse, comprising:
an implant having a support portion and first and second anchoring arms, the first and second anchoring arms including distal tissue anchors engageable with the sacrospinous ligament of a patient via a perineal incision such that the support portion engages with and stabilizes the rectum.
12 . The system of claim 11 , further including a generally curved introducer needle device.
13 . The system of claim 11 , wherein support portion further includes one or more eyelets, and the first and second anchoring arms are separate from the support portion, with at least one of the first and second arms being engageable with the one or more eyelets.
14 . The system of claim 13 , wherein the first and second arms each include non-mesh portion and a mesh portion.
15 . The system of claim 14 , wherein the non-mesh portion is a cylindrical rod member.