Scopul. In prezent rectopexia posterioara este utilizata pe scara larga pentru corectia prolapsului rectal. Frecventa recurentei dupa rectopexia posterioara constituie 4–7%, iar după rectopexia ventrală s-a dovedit a fi mai mică de 4%. Studiul a urmărit compararea rezultatelor tratamentului chirurgical pentru prolapsul rectal. Material și Metoda. Studiul prospectiv a inclus 84 de pacienti cu prolaps rectal, care au suferit o interventie chirurgicala in sectia de Chirurgie Colorectala intre anii 2010-2021. Lotul experimental a inclus 40 de pacienti care au fost supusi rectooexiei ventrale, lotul de control a fost format din 44 de pacienti dupa rectopexie posterioara. Rezultate. Rezultatele tratamentului au fost evaluate la 32 (80%) pacienti din lotul experimental si la 30 (74,3%) pacienti din lotul de control in decursul a 2.5–3 (media 2,8) ani. Rectoexia ventrala reduce frecventa de crestere a timpului de tranzit gastro-intestinal (9.2% si 72.4%, p = 0,02) si frecventa de recurenta a prolapsului (2.6% si 9.3%, p = 0,03) comparativ cu rectopexia posterioara. Restabilirea functiei sfincterului anal are loc la 41.8-36.1% dintre pacienti, si vindecarea ulcerelor solitare in 86.1–71.3%, in dependenta de metoda de fixare a rectului. Concluzie. Rectopexia ventrala este un tratament eficient pentru prolapsul rectal, dar decizia finala, privind selectarea operatiei, este posibila numai dupa obtinerea rezultatelor cercetarilor cu multiple probe functionale.

Aim. Posterior rectopexy is widely used for rectal prolapse correction. The frequency of recurrence after posterior rectopexy is 4–7%, but after ventral rectopexy was proved to be less than 4%. Our study followed to compare the results of surgical options for rectal prolapse. Material and Methods. Prospective study included 84 patients with rectal prolapse who underwent surgery in Colorectal Department between 2010-2021 period. The main group included 40 patients who underwent ventral rectopexy, the control group was formed of 44 patients after posterior rectopexy. Results. Treatment results were assessed in 32 (80%) patients of the main and in 30 (74.3%) of the control groups during 2,5–3 (median 2.8) years. Ventral rectopexy reduces the frequency of increase of gastrointestinal transit time (9.2% and 72.4%, p = 0.02) and prolapse recurrence frequency (2.6% and 9.3%, p = 0.03) compared to posterior rectopexy. Restoration of anal sphincter function occurs in 41.8–36.1% of patients, and the healing of solitary ulcers in 86.1–71.3%, regardless of the method of rectum fixation. Conclusion. Ventral rectopexia is an effective treatment for rectal prolapse, but the final decision on the selection of the operation is possible only after obtaining the results of research with multiple functional samples.