Summary and Conclusions
The perisphincteric wiring operation is an efficient, safe and relatively simple procedure which has yielded results in a much wider field of application than was anticipated when we first began its use ten years ago. It has served as the sole operation in extensive prolapse, especially in the aged and infirm, and we consider it to be a valuable adjunct in the combined abdominoperineal approach to complete rectal prolapse in younger, more active, patients.
The technic, as herein described, represents an improvement in both method and materials in the performance of this operation and has thereby given it greater scope. It is our opinion that our results to date justify wider application of this operation.
Similar content being viewed by others
References
Altemeier, W. A., P. I. Hoxworth and Jerome Giuseffi: Further experiences with the treatment of prolapse of the rectum. S. Clin. North America, October, 1955, pp. 1437–1447.
Brintnall, E. S.: Surgical treatment of complete rectal prolapse. A.M.A. Arch Surg.65: 816, 1952.
Dunphy, J. E.: Combined perineal and abdominal operation for the repair of rectal prolapse. Surg., Gynec. & Obst.86: 493, 1948.
Gabriel, W. B.: Thiersch’s operation for anal incontinence and minor degrees of rectal prolapse. Am. J. Surg.86: 583, 1953.
Gabriel, W. B.: The treatment of complete prolapse of the rectum by rectosigmoidectomy (Auffret-Mikulicz-Miles procedure). Dis. Colon & Rectum.1: 241, 1958.
Goligher, J. C.: The functional results after sphincter-saving resections of the rectum. Ann. Roy. Coll. Surgeons England.8: 421, 1951.
Goligher, J. C.: The treatment of complete prolapse of the rectum by the Roscoe Graham operation. Brit. J. Surg.45: 323, 1958.
Goligher, J. C. and E. S. R. Hughes: Sensibility of the rectum and colon: Its role in the mechanism of anal continence. Lancet.1: 543, 1951.
Graham, R. R.: Operative repair of massive rectal prolapse. Ann. Surg.115: 1007, 1942.
Mayo, C. W.: Complete rectal prolapse: A fascial repair. West. J. Surg.46: 75, 1938.
Miles, W. E.: Recto-sigmoidectomy as a method of treatment for procidentia recti. Proc. Roy. Soc. Med.26: 1445, 1933.
Muir, E. G.: Rectal prolapse: President’s address. Proc. Roy. Soc. Med.48: 33, 1955.
Orr, T. G.: A suspension operation for prolapse of the rectum. Ann. Surg.126: 833, 1947.
Pemberton, J. deJ., P. C. Kiernan and A. H. Pemberton: The results of the surgical treatment of complete rectal prolapse, with particular reference to the suspension-fixation operation. Ann. Surg.137: 478, 1953.
Pemberton, J. deJ. and L. K. Stalker: Surgical treatment of complete rectal prolapse. Ann. Surg.109: 799, 1939.
Ripstein, C. B.: Treatment of massive rectal prolapse. Am. J. Surg.83: 68, 1952.
Section of Proctology: Discussion on prolapse of the rectum. Proc. Roy. Soc. Med.42 (suppl.): 1005, 1949.
Swinton, N. W. and W. L. Mathiesen: The treatment of rectal prolapse and procidentia. S. Clin. North America, June, 1955, pp. 847–852.
Wasserman, I. S.: Tratamiento del prolapso rectal por medico del cerclage. Rev. Soc. argent. de proct.7: 31, 1949.
Author information
Authors and Affiliations
Additional information
Read at the meeting of the American Proctologic Society, Atlantic City, New Jersey, June 15 to 17, 1959.
About this article
Cite this article
Burke, R.M., Jackman, R.J. A modified thiersch operation in treatment of complete rectal prolapse. Dis Colon Rectum 2, 555–561 (1959). https://doi.org/10.1007/BF02617008
Issue Date:
DOI: https://doi.org/10.1007/BF02617008