Abstract
Rectal prolapse is a common problem in India. The usual method of treatment, by Thiersch operation, may fail due to wound infection, a consequence of the practice of using water for ablution by several sweeping anteroposterior motions of the hand. Once infection has occurred, it has been found necessary to remove the wire. For this reason, it is suggested that the Thiersch operation may be modified to minimize the risk of infection and increase the cure rate. The technique of modification is described and comments are made in the light of pertinent literature.
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References
Gabriel WB (1948) The principles and practices of rectal surgery. Lewis, London, pp 106–122
Goligher JC (1980) Surgery of the anus, rectum and colon. Cassel, London, pp 224–258
Graham RR (1942) The operative repair of massive rectal prolapse. Ann Surg 115: 1007–1014
Gysler R, Morger R (1983) Experience with sclerosing treatment in anorectal prolapse in childhood. Z Kinderchir 38 (Suppl 1): 42–43
Keishley MR, Fieldina JW, Alexander Williams J (1983) Results of Marlex mesh abdominal rectopexy for rectal prolapse in 100 consecutive patients. Br J Surg 70: 229–232
Lockhart Mummery JP (1910) A new operation for prolapse of the rectum. Lancet I: 641
McCann FJ (1928) Note on an operation for the cure of prolapse of the rectum in the female. Lancet I: 1072
Miles WE (1933) Recto-sigmoidectomy as a method of treatment of procidentia recti. Proc R Soc Med 26: 1445
Moschowitz AV (1912) The pathogenesis, anatomy and cure of prolapse of the rectum. Surg Gynecol Obstet 15: 7
Narasanagi SS (1974) Rectal prolapse in children. J Indian Med Assoc 62: 378–380
Nwako F (1975) Rectal prolapse in Nigerian children. Int Surg 60: 284–285
Prasad M, Jain BL (1963) Prolapse rectum — Thiersch's operation for the treatment of prolapse rectum. Indian J Surg 25: 691–694
Singhal GD, Singh LM, Singh KP (1972) Diagnostic considerations in ancient Indian surgery. Ancient Indian surgery, vol 3. Singhal Publications, B.H.U., Varanasi, India p 203
Singhal GD, Singh LM (1982) Operative considerations in ancient Indian surgery. Ancient Indian surgery, vol 5. Singhal Publications, B.H.U., Varanasi, India, pp 392–393
Stephens FD (1958) Minor surgical conditions of the anus and perinium (in paediatrics). Med J Aust 1: 244
Wright AD (1949) Discussion of prolapse rectum. Proc R Soc Med 42: 1005–1016
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Singhal, G.D. Singhal's modification of Thiersch's operation for prolapse of the rectum in children. Pediatr Surg Int 2, 359–361 (1987). https://doi.org/10.1007/BF00175649
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DOI: https://doi.org/10.1007/BF00175649