RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187821969
T1 Rectal Prolapse, Perineal Repair
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187821969
RD 2024/04/19
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.