TY - CHAP M1 - Book, Section TI - Rectal Prolapse, Perineal Repair A1 - Ellison, E. Christopher A1 - Zollinger, Jr., Robert M. A1 - Pawlik, Timothy M. A1 - Vaccaro, Patrick S. A1 - Bitans, Marita A1 - Baker, Anthony S. Y1 - 2022 N1 - T2 - Zollinger’s Atlas of Surgical Operations, 11e AB - Operative correction of complete rectal prolapse in children is rarely indicated. However, in adults (especially in older age groups), effective operative repair is worthwhile. Relatively commonly, rectal prolapse is found to be associated with or related to neurologic and psychiatric disorders as well as degenerative arteriosclerotic diseases. True prolapse of the rectum involves a herniation of the pouch of Douglas through the dilated and incompetent sphincter muscles. To correct this defect, the hernial pouch must be eliminated and the weakened pelvic floor strengthened. Obliteration of the pouch of Douglas and fixation of the rectum can be accomplished by a perineal, abdominal, or combined approach. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1187821969 ER -