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Abstract

There are very few per-anal techniques for the treatment of faecal incontinence that have withstood long-term scrutiny of the results [8,13]. If the causes of the incontinence combine not only the presence of an ano-rectal abnormality but also a weak anal sphincter (e.g. as in many patients with rectal mucosal prolapse or third degree haemorrhoids) a per-anal technique that involves forcible dilation of the anal orifice may be contra-indicated.

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References and Further Reading

  1. Altemeier WA, Giuseppi J, Hoxworth P (1952) Treatment of extensive prolapse of the rectum in aged or debilitated patients. Arch Surg 65: 72

    CAS  Google Scholar 

  2. Altemeier WA, Culbertson WR, Schowengerdt C et al. (1971) Nineteen years experience with the one-stage perineal repair of rectal prolapse. Ann Surg 173: 993

    Article  PubMed  CAS  Google Scholar 

  3. Christiansen J, Kirkegaard P (1981) Delorme’s operation for complete rectal prolapse. Br J Surg 68: 537

    Article  PubMed  CAS  Google Scholar 

  4. Corman ML (1989) Colon and rectal surgery. Lippincott, Philadelphia, pp 225–229

    Google Scholar 

  5. Delorme RL (1900) Communication sur le traitement des prolapsus du rectum totale par l’excision de la muqueuse rectale ou recto-colique. Translated in Dis Colon Rectum (1985) 28: 544–553

    Article  Google Scholar 

  6. Goldberg SM, Gordon PH, Nivatvongs S (1980) Essentials of ano-rectal surgery. Lippincott, Philadelphia

    Google Scholar 

  7. Gopal KA, Amshel AL, Shonberg IL, Eftaiha M (1984) Rectal procidentia in elderly and debilitated patients: experience with the Altemeier procedure. Dis Colon Rectum 27: 376

    Article  PubMed  CAS  Google Scholar 

  8. Hughes ESR (1949) Discussion on rectal prolapse. Proc R Soc Med 42: 1007

    Google Scholar 

  9. Miles WE (1933) Recto-sigmoidoscopy as a method of treatment for procidentia recti. Proc R Soc Med 26: 1445

    PubMed  CAS  Google Scholar 

  10. Neil ME, Parks AG, Swash M (1981) Physiological studies of the anal sphincter musculature in faecal incontinence and rectal prolapse. Br J Surg 68: 531

    Article  Google Scholar 

  11. Nicholls J, Glass R (1985) Coloproctology, diagnosis and out-patient management. Springer, Heidelberg and New York, Chap. 6

    Google Scholar 

  12. Parks AG, Porter NH, Hardcastle J (1966) The syndrome of the descending perineum. Proc R Soc Med 59: 477

    PubMed  CAS  Google Scholar 

  13. Porter NH (1962) Collective results of operations for rectal prolapse (at St. Mark’s Hospital 1948–1960). Proc R Soc Med 55: 1087

    PubMed  CAS  Google Scholar 

  14. Rutter KRP, Riddell RH (1975) The solitary ulcer syndrome of the rectum. Clin Gastroenterol 4: 505

    PubMed  CAS  Google Scholar 

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© 1997 Springer-Verlag London Limited

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Mann, C.V., Glass, R.E. (1997). Per-anal Techniques. In: Surgical Treatment of Anal Incontinence. Springer, London. https://doi.org/10.1007/978-1-4471-0935-8_7

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  • DOI: https://doi.org/10.1007/978-1-4471-0935-8_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1239-6

  • Online ISBN: 978-1-4471-0935-8

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