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The Parasacral Approach for Rectal Prolapse

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Colo-Proctology
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Abstract

The complete rectal prolapse is generally accompanied by a partial or complete incontinence. The patients are mostly elderly and may not always be fit for major abdominal surgery. The rectal prolapse is characterised by the following anatomical changes:

  1. 1.

    A defective pelvic floor with a diastasis of the levatores ani.

  2. 2.

    A loss of the near horizontal position of the rectum as a consequence of its very loose attachment to the sacrum.

  3. 3.

    An abnormally deep pouch of Douglas.

  4. 4.

    A redundant rectosigmoid.

  5. 5.

    A weak anal sphincter.

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© 1984 Springer-Verlag Berlin Heidelberg

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Harder, F., Dürig, M., Huber, A. (1984). The Parasacral Approach for Rectal Prolapse. In: Givel, JC., Saegesser, F. (eds) Colo-Proctology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95439-9_28

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  • DOI: https://doi.org/10.1007/978-3-642-95439-9_28

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-12557-0

  • Online ISBN: 978-3-642-95439-9

  • eBook Packages: Springer Book Archive

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