Diseases of the Colon & Rectum

, Volume 17, Issue 1, pp 21–37 | Cite as

The ivalon-sponge-wrap operation for rectal prolapse: An experience with 26 patients

  • C. Boutsis
  • Harold Ellis
Article

Summary

The ivalon-sponge-wrap operation (polyvinyl sponge wrap in the United Kingdom) is comparatively new in the armamentarium of the surgical treatment of rectal prolapse. We have employed this technique almost exclusively within the last decade in our management of this disease.

Twenty-six patients with complete rectal prolapse, (24 women and two men) have been operated upon from 1961 till 1971 (28 operations). We have had one postoperative death and one final recurrence.

Concomitant preoperative incontinence, although decreased by almost 50 per cent, has not been eliminated.

Bowel habits also, although remarkably improved with the operative procedure, have not been totally restored to normal.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Altemeier WA, Culbertson WR: Technique for perineal repair of rectal prolapse. Surgery 58: 758, 1965Google Scholar
  2. 2.
    Altemeier WA, Hoxworth PI, Giuseffi J: Further experiences with the treatment of prolapse of the rectum. Surg Clin North Am 35: 1437 (Oct) 1955CrossRefGoogle Scholar
  3. 3.
    Aminev AM, Malyshev I: Rectal prolapse: A comparative evaluation of some operative methods of treatment concerning late observations made by the surgeons of the Soviet Union. Am J Proctol 15: 355, 1964.PubMedGoogle Scholar
  4. 4.
    Auffret M: Un cas de procidence de gros intestine d'une longueur de centimetres—operation par excision—double rangee de suturmont. Progr Med 10: 650, 1882.Google Scholar
  5. 5.
    Babcock WW: Quoted by Devadhar DS22Google Scholar
  6. 6.
    Bacon HE, Arias E, Carroll PT, et al: Complete rectal prolapse or procidentia: Diagnosis and treatment. Geriatrics 11: 231, 1956.PubMedGoogle Scholar
  7. 7.
    Banov L: Proctology in ancient Egypt: Its continuing influence on the management of anovectal diseases. South Med J 58: 1366, 1965CrossRefPubMedGoogle Scholar
  8. 8.
    Banov L: Hippocratic proctology. South Med J 60: 667, 1967.CrossRefPubMedGoogle Scholar
  9. 9.
    Bekheit F, Iskander F, Aguib M: Complete rectal prolapse in Egypt. J Egypt Med Assoc 50:62, 1967.PubMedGoogle Scholar
  10. 10.
    Bell J: Operation for complete prolapse of the rectum after the method recommended by Dr. John B. Roberts of Philadelphia. Ann Surg 13: 333, 1891.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Bodenhamer W: Practical Observations on Some of the Diseases of the Rectum, Anus, and Contiguous Textures; Giving Their Nature, Seat, Causes, Symptoms, Consequences and Prevention; Especially Addressed to the Non-Medical Reader. Cincinnati, A. G. Sparhawk, 1847, p 117Google Scholar
  12. 12.
    Brodén B, Snellman B: Procidentia of the rectum studied with cineradiography: A contribution to the discussion of causative mechanism. Dis Colon Rectum 11: 330, 1968.CrossRefPubMedGoogle Scholar
  13. 13.
    Butler EC: Intra-abdominal repair of rectal prolapse. Dis Colon Rectum 7: 546, 1964CrossRefPubMedGoogle Scholar
  14. 14.
    Calne RY: Ivalon wrap operation for rectal prolapse. Proc R Soc Med 59: 127, 1966PubMedPubMedCentralGoogle Scholar
  15. 15.
    Castro AF: Procidentia of the rectum. Dis Colon Rectum 1: 97, 1958.CrossRefPubMedGoogle Scholar
  16. 16.
    Collins CD, Brown BH, Duthie HL: An assessment of intraluminal electrical stimulation for anal incontinence. Br J Surg 56: 542, 1969.CrossRefPubMedGoogle Scholar
  17. 17.
    Cooper A, Edwards FS: Diseases of the Rectum and Anus. Second edition. Philadelphia, P. Blakiston Son & Co., 1892, p 260.Google Scholar
  18. 18.
    Den Besten L, Brintnall ES: Surgical treatment of complete rectal prolapse. Dis Colon Rectum 7: 39, 1964.CrossRefGoogle Scholar
  19. 19.
    Devadhar DS: A new operative treatment for complete prolapse of rectum. J Christ Med Assoc India 36: 18, 1961PubMedGoogle Scholar
  20. 20.
    Devadhar DS: New thoughts on the mechanism and treatment of rectal procidentia. J Int Coll Surg 42: 672, 1964PubMedGoogle Scholar
  21. 21.
    Devadhar DS: A new concept of mechanism and treatment of rectal procidentia. Dis Colon Rectum 8: 75, 1965CrossRefPubMedGoogle Scholar
  22. 22.
    Devadhar DS: An appraisal of the problem of rectal procidentia. NZ Med J 66: 306, 1967Google Scholar
  23. 23.
    Devadhar DS: Surgical correction of rectal procidentia. Surgery 62: 847, 1967PubMedGoogle Scholar
  24. 24.
    Dukes CE, Mitchley BC: Polyvinyl sponge implants: Experimental and clinical observations. Br J Plast Surg 15: 225, 1962.CrossRefPubMedGoogle Scholar
  25. 25.
    Dunphy JE: A combined perineal and abdominal operation for the repair of rectal prolapse. Surg Gynecol Obstet 86: 493, 1948PubMedGoogle Scholar
  26. 26.
    Duthie HL: Anal continence. Gut 12: 844, 1971CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Ebbell B: The Papyrus Ebers; The Greatest Egyptian Medical Document. Copenhagen, Levin & Munksgaard, 1937, p 29Google Scholar
  28. 28.
    von Eiselsberg F: Zur Operativen Behandlung grosser Rectum-Prolapse. Arch Klin Chir 67: 745, 1902Google Scholar
  29. 29.
    Ellis H: The polyvinyl sponge wrap operation for rectal prolapse. Br J Surg 53: 675, 1966.CrossRefPubMedGoogle Scholar
  30. 30.
    Frykman HM, Goldberg SM: The surgical treatment of rectal procidentia. Surg Gynecol Obstet 129: 1225, 1969PubMedGoogle Scholar
  31. 31.
    Glen ES: Effective and safe control of incontinence by the intra-anal plug electrode. Br J Surg 58: 249, 1971CrossRefPubMedGoogle Scholar
  32. 32.
    Goligher JC: The functional results after sphincter-saving resections of the rectum. Ann R Coll Surg Engl 8: 421, 1951PubMedPubMedCentralGoogle Scholar
  33. 33.
    Goligher JC: The treatment of complete prolapse of the rectum by the Roscoe Graham operation. Br J Surg 45: 323, 1958CrossRefPubMedGoogle Scholar
  34. 34.
    Goligher JC: Prolapse of the rectum, Clinical Surgery. Edited by C Rob, R Smith, CN Morgan. London, Butterworth & Co., Ltd., 1966, volume 10, chapte 46, pp 534–540Google Scholar
  35. 35.
    Goligher JC, Duthie HL, DeDombal FT, et al: Abdomino-anal pull-through excision for tumors of the mid-third of the rectum; a comparison with low anterior resection. Br J Surg 52: 323, 1965CrossRefPubMedGoogle Scholar
  36. 36.
    Goligher JC, Duthie HL, Nixon HH: Surgery of the Anus, Rectum and Colon. Second edition. Springfield, Charles C Thomas, 1967, pp 311–316Google Scholar
  37. 37.
    Goligher JC, Hughes ES: Sensibility of the rectum and colon: Its role in the mechanism of anal continence. Lancet 1: 543, 1951CrossRefPubMedGoogle Scholar
  38. 38.
    Graham RR: The operative repair of massive rectal prolapse. Ann Surg 115: 1007, 1942CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    Gregory EJ Jr, Hartman AW, Hills WJ, et al: Experiences with rectal prolapse. Ann Surg 155: 495, 1962CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Gross and Roberts: Quoted by Gregory EJ Jr, et al39 Google Scholar
  41. 41.
    Hardcastle JD: The descending perineum syndrome. Practitioner 203: 612, 1969PubMedGoogle Scholar
  42. 42.
    Hey: Quoted by Gregory EJ Jr, et al39 Google Scholar
  43. 43.
    Hippocrates: The Genuine Works of Hippocrates; Translated from the Greek with a Preliminary Discourse and Annotations by Francis Adams. New York, William Wood and Company, 1886, volume 2, p 309Google Scholar
  44. 44.
    Hughes ES, Gleadell LW: Abdominoperineal repair of complete prolapse of the rectum. Proc R Soc Med 55: 1077, 1962.PubMedGoogle Scholar
  45. 45.
    Jeannel M: Résultat d'une opération de colopexie pour prolapsus invaginé du rectum. Gaz Hebd Sci Med 27: 246, 1890Google Scholar
  46. 46.
    Jonckeere F: Le Papyrus Medical Chester Beatty (La Medicine Egyptienne, No. 2). Brussels, Foundation Egyptologique Reine Elizabeth, 1947, p 76Google Scholar
  47. 47.
    Khubchandani IT, Bacon HE. Complete prolapse of rectum and its treatment. Arch Surg 90: 337, 1965CrossRefPubMedGoogle Scholar
  48. 48.
    Kűpfer CA, Goligher JC: One hundred consecutive cases of complete prolapse of the rectum treated by operation. Br J Surg 57: 481, 1970CrossRefGoogle Scholar
  49. 49.
    Lange F: Contributions to intestinal and anal surgery: Inguinal colotomy—excision of hemorrhoids—excision of fistulae in ano —new operation for cure of prolapsus ani. Ann Surg 5: 491, 1887.CrossRefPubMedPubMedCentralGoogle Scholar
  50. 50.
    Martin EG: Prolapse of the rectum: Its reclassicication and surgical treatment. JAMA 99: 368, 1932CrossRefGoogle Scholar
  51. 51.
    Marx R: The Health of the Presidents. New York. Longmans, Green & Co., Inc., 1960, p 63Google Scholar
  52. 52.
    Mikulicz J: Zur operativen Behandlung des Prolapsus recti et coli invaginati. Arch Klin chir 38: 74, 1889Google Scholar
  53. 53.
    Miles WE: Recto-sigmoidectomy as a method of treatment for procidentia recti. Proc R Soc Med 26: 1445, 1933PubMedPubMedCentralGoogle Scholar
  54. 54.
    Morgan CN: The use of ivalon sponge. Proc R Soc Med 55: 1084, 1962Google Scholar
  55. 55.
    Moschcowitz AV: The pathogenesis, anatomy, and cure of prolapse of the rectum. Surg Gynecol Obstet 15: 7, 1912Google Scholar
  56. 56.
    Muir EG: Treatment of complete rectal prolapse in the adult. Proc R Soc Med 55: 1086, 1962Google Scholar
  57. 57.
    Nigro ND: Restoration of the levator sling in the treatment of rectal procidentia. Dis Colon Rectum 1: 123, 1958.CrossRefPubMedGoogle Scholar
  58. 58.
    Orr TG: A suspension operation for prolapse of the rectum. Ann Surg 126: 833, 1947CrossRefPubMedCentralGoogle Scholar
  59. 59.
    Parks AG, Porter NH, McIzak J: Experimental study of the reflex mechanism controlling the muscles of the pelvic floor. Dis Colon Rectum 5: 407, 1962.CrossRefPubMedGoogle Scholar
  60. 60.
    Pemberton JdeJ, Stalker LK: Surgical treatment of complete rectal prolapse. Ann Surg 109: 799, 1939CrossRefPubMedPubMedCentralGoogle Scholar
  61. 61.
    Phillips SF, Edwards DA: Some aspects of anal continence and defacation. Gut 6: 396, 1965CrossRefPubMedPubMedCentralGoogle Scholar
  62. 62.
    Porter N: Collective results of operations for rectal prolapse. Proc R Soc Med 55: 1087, 1962PubMedGoogle Scholar
  63. 63.
    Price EN: The medical history of Cardinal de Richelieu. St. Mary's Hosp Gaz London 47: 18, 1941Google Scholar
  64. 64.
    Ripstein CB: Surgical care of massive rectal prolapse. Dis Colon Rectum 8: 34, 1965CrossRefPubMedGoogle Scholar
  65. 65.
    Ripstein CB: Surgical treatment of rectal prolapse. Pacific Med Surg 75: 329, 1967Google Scholar
  66. 66.
    Ripstein CB, Lanter B: Etiology and surgical therapy of massive prolapse of the rectum. Ann Surg 157: 259, 1963CrossRefPubMedPubMedCentralGoogle Scholar
  67. 67.
    Shann H: The complete prolapse or procidentia of the rectum, an unsolved surgical problem. Int Abst Surg 109: 521, 1959Google Scholar
  68. 68.
    Stallworthy JA: Prolapse—I, Aetiology and diagnosis. Br Med J 1: 499, 1971CrossRefPubMedPubMedCentralGoogle Scholar
  69. 69.
    (No ref. 69)Google Scholar
  70. 70.
    Swinton NW, McKee DM: Current surgical management of rectal procidentia. Surg Clin North Am 45: 657, 1965CrossRefPubMedGoogle Scholar
  71. 71.
    Theuerkauf FJ Jr, Beahrs OH, Hill JR: Rectal prolapse: Causation and surgical treatment. Ann Surg 171: 819, 1970CrossRefPubMedPubMedCentralGoogle Scholar
  72. 72.
    Thiersch K: Quoted by Gabriel WB: Principles and Practice of Rectal Surgery. Fifth edition. London, H. K. Lewis and Co. Ltd., 1965, 739 ppGoogle Scholar
  73. 73.
    Todd IP: Etiological factors in the production of complete rectal prolapse. Postgrad Med J 35: 97, 1959CrossRefPubMedPubMedCentralGoogle Scholar
  74. 74.
    Van Buren WH: Lectures Upon Diseases of the Rectum and the Surgery of the Lower Bowel. New York, D. Appleton and Company, 1881, pp 54–94Google Scholar
  75. 75.
    Wells C: New operation for rectal prolapse. Proc R Soc Med 52: 602, 1959PubMedPubMedCentralGoogle Scholar
  76. 76.
    Wiseman R: Severall Chirurgical Treatises. London, R. Royston, 1676, pp 211–242Google Scholar
  77. 77.
    Wood K: (no title). Proc R Soc Med 55: 1086, 1962Google Scholar
  78. 78.
    Wright AD: Discussion on prolapse of the rectum. Proc R Soc Med 42: 1005, 1949PubMedGoogle Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1974

Authors and Affiliations

  • C. Boutsis
    • 1
  • Harold Ellis
    • 1
  1. 1.Surgical UnitWestminster Medical SchoolLondonEngland

Personalised recommendations