RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Robert M. SR Print(0) ID 1127273041 T1 RECTAL PROLAPSE, PERINEAL REPAIR T2 Zollinger's Atlas of Surgical Operations, 10e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179755-9 LK accesssurgery.mhmedical.com/content.aspx?aid=1127273041 RD 2024/04/23 AB Operative correction of complete rectal prolapse in children is rarely indicated. However, in adults (especially in older 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 the perineal, abdominal, or combined approach.