Abstract
Experience with a new silicone prosthesis in the modified Thiersch operation for rectal procidentia in 16 extremely poor-risk patients is presented. The technique of implantation, structural details of the prosthesis, and the clinical results are described. The use of a new silicone prosthesis in the modified Thiersch procedure is a viable alternative in this group of patients. Surgical technique is a primary determining factor in preventing complications.
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References
Gabriel WB. The principles and practice of rectal surgery. 5th ed. Springfield: Charles Thomas, 1963:179–80.
Goligher JC. Surgery of the anus, rectum and colon. 4th ed. London: Bailliere Tindall, 1980:234–5.
Lomas MI, Cooperman H. Correction of rectal procidentia by use of polypropylene mesh (Marlex). Dis Colon Rectum 1972;15: 416–9.
Labow S, Rubin RJ, Hoexter B, Salvati EP. Perineal repair of rectal procidentia with an elastic fabric sling. Dis Colon Rectum 1980;22:467–9.
Orsay CP, Prasad ML, Abcarian H, Kocka FE, Roccaforte P. Preoperative antimicrobial preparation of the colon with povidone-iodine enema. Dis Colon Rectum 1986;29:451–3.
Wassef R. Principles of colon and rectal surgery, Division of Colon and Rectal Surgery, University of Minnesota, October 9, 1986: 197–9.
Goldberg SM, Gordon PH, Nivatvongs S. Essentials of anorectal surgery. Philadelphia: JB Lippincott, 1980:266–7.
Ripstein CB. Rectal prolapse: an alternative point of view. In: Turell R, ed. Diseases of the colon and anorectum. Vol. 2. 2nd ed. Philadelphia: WB Saunders Co, 1969:1069–71.
Wassef R, Rothenberger DA, Goldberg SM. Surgical treatment of rectal prolapse. Surg Rounds 1986;9:15–29.
Uhlig BE, Sullivan ES. The modified Delorme operation: its place in surgical treatment for massive rectal prolapse. Dis Colon Rectum 1979;22:513–21.
Corman ML. Colon and rectal surgery. Philadelphia: JB Lippincott, 1984:126–37.
Earnshaw JJ, Hopkinson BR. Late results of silicone rubber perianal suture for rectal prolapse. Dis Colon Rectum 1987;30:86–8.
Ladha A, Lee P, Berger P. Use of Angelchik Anti-Reflux Prosthesis™ for repair of total rectal prolapse in elderly patients. Dis Colon Rectum 1985;28:5–7.
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Khanduja, K.S., Hardy, T.G., Aguilar, P.S. et al. A new silicone prosthesis in the modified Thiersch operation. Dis Colon Rectum 31, 380–383 (1988). https://doi.org/10.1007/BF02564890
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DOI: https://doi.org/10.1007/BF02564890