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Complete prolapse of the rectum

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Diseases of the Colon & Rectum

Summary

Forty-two cases of prolapse of the rectum are reported which were operated upon from 1949 to 1958. Thirty-one patients underwent Graham’s operation, and 11 a combination of Graham’s procedure and Pemberton’s proctopexy.

Roentgenologic examination and observation made at laparotomy have demonstrated that rectal prolapse may be caused either by depth of the pelvic cul-de-sac or by weakening of the rectal fixation. Possibly the two types may be combined. Five recurrences were recorded. In four the recurrence was due to weakening of the rectal fixation in patients treated by closure of the pelvic cul-de-sac according to Graham. Since the type of the prolapse cannot always be determined, Graham’s procedure should be combined with Pemberton’s proctopexy.

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References

  1. Ekengren, K. and B. Snellman: Roentgen appearances in mechanical rectal constipation. Acta radiol.40: 447, 1953.

    Article  PubMed  CAS  Google Scholar 

  2. Goligher, J. C.: The treatment of complete prolapse of the rectum by the Roscoe Graham operation. Brit. J. Surg.45: 323, 1958.

    Article  PubMed  CAS  Google Scholar 

  3. Graham, R.: The operative repair of massive rectal prolapse. Ann. Surg.115: 1007, 1942.

    PubMed  CAS  Google Scholar 

  4. Howet, F.: Pathogénie et traitement chirurgical du prolapsus du rectum. J. Chir.45: 877, 1935.

    Google Scholar 

  5. Hulten, O.: Über prolapsus recti bei Erwachsenen. Acta chir. scandinav.93: 194, 1946.

    Google Scholar 

  6. Moschcowitz, A. V.: The pathogenesis, anatomy and cure of prolapse of the rectum. Surg., Gynec. & Obst.15: 7, 1912.

    Google Scholar 

  7. Muir, E. G.: Rectal prolapse. Proc. Roy. Soc. Med.48: 33, 1955.

    PubMed  CAS  Google Scholar 

  8. Pemberton, J. deJ. and L. K. Stalker: Surgical treatment of complete rectal prolapse. Ann. Surg.109: 799, 1939.

    Article  PubMed  CAS  Google Scholar 

  9. Quénu, E. and P. Duval: Technique de la colopexie pour prolapsus du rectum. Rev. chir.41: 135, 1910.

    Google Scholar 

  10. Snellman, B.: Twelve cases of prolapse of the rectum: Treated by the Roscoe Graham operation. Acta chir. scandinav.108: 261, 1954.

    CAS  Google Scholar 

  11. Walldén, L.: Pressblockade des Rectums bei tiefer Fossa rectogenitalis. Upsala läk. forh.53: 267, 1947–1948.

    Google Scholar 

  12. Walldén, L.: Defecation block in cases of deep rectogenital pouch: A surgical, roentgenological and embryological study with special reference to morphological conditions. Acta chir. scandinav. Suppl.165, 1952.

  13. Walldén, L.: Roentgen examination of the deep rectogenital pouch. Acta radiol.39: 105, 1953.

    Article  PubMed  Google Scholar 

Additional References

  1. Aronsson, H.: Komplett rectalprolaps. Nord med.43: 499, 1950.

    PubMed  CAS  Google Scholar 

  2. Cunéo, B. and V. Veau: De la signification morphologique des aponévroses périvésicales. J. anat. et physiol.35: 235, 1899.

    Google Scholar 

  3. Davies, J. W.: Preperitoneal layer-its gynecological application. Surg., Gynec. & Obst.60: 941, 1935.

    Google Scholar 

  4. Dunphy, J. E.: A combined perineal and abdominal operation for the repair of rectal prolapse. Surg., Gynec. & Obst.86: 493, 1948.

    CAS  Google Scholar 

  5. Gaston, E. A.: The physiology of fecal continence. Surg., Gynec. & Obst.87: 280, 1948.

    CAS  Google Scholar 

  6. Glassman, L.: Improved operation for congenital deep cul-de-sac. Surg., Gynec. & Obst.42: 837, 1926.

    Google Scholar 

  7. Hayes, H. T. and H. B. Burr: Treatment of complete prolapse of the rectum. Am. J. Surg.75: 358, 1948.

    Article  CAS  PubMed  Google Scholar 

  8. Hughes, E. S. R.: Rectal prolapse. Proc. Roy. Soc. Med.42: 1007, 1949.

    Google Scholar 

  9. Masson, J. C. and H. E. Simon: Vaginal hernia. Surg., Gynec. & Obst.47: 36, 1928.

    Google Scholar 

  10. Olovson, Th.: Rectal prolapsoperation enligt Pemberton. Nord. med.60: 963, 1958.

    Google Scholar 

  11. Rankin, R. W. and J. T. Priestley: Prolapse of the rectum. Ann. Surg.98: 1030, 1933.

    Article  PubMed  CAS  Google Scholar 

  12. Smith, G. E.: Studies in the anatomy of the pelvis, with special reference to the fasciae and visceral supports. J. anat. et physiol.42: 252, 1908.

    CAS  Google Scholar 

  13. Snellman, B.: Rekonstruktion av defekter i septum recto-genitale, speciellt vid rectocele. Nord. med.46: 1468, 1951.

    Google Scholar 

  14. Snellman, B.: Kirurgisk behandling av mekanisk rectal-obstipation. Nord. med.49: 918, 1953.

    Google Scholar 

  15. Tobin, C. E. and J. A. Benjamin: Anatomical and surgical restudy of Denonvilliers’ fascia. Surg., Gynec. & Obst.80: 373, 1945.

    Google Scholar 

  16. Uhlenhuth, E., W. M. Wolfe, E. M. Smith, and E. B. Middleton: The rectogenital septum. Surg., Gynec. & Obst.86: 148, 1948.

    CAS  Google Scholar 

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Authors and Affiliations

  1. From the Department of Surgery, St. Görans Hospital, Stockholm, Sweden

    Björn Snellman M.D.

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  1. Björn Snellman M.D.
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Snellman, B. Complete prolapse of the rectum. Dis Colon Rectum 4, 199–205 (1961). https://doi.org/10.1007/BF02616466

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  • DOI: https://doi.org/10.1007/BF02616466

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