Popis: |
Approaches to the management of rectal prolapse have been the subject of discussion for more than a century. Described operations for rectal prolapse are myriad and include well-recognized eponymous associations. The literature on this rather uncommon condition has stimulated a disproportionate number of diverse operations, which include those directed at narrowing the anal orifice, obliteration of the pouch of Douglas, restoration of the pelvic floor, bowel resection by a number of routes, and suspension by various means. All have their advocates, especially when the procedure is to be used under limited circumstances. It is prudent for surgeons to have knowledge of history when selecting an operation for the treatment of rectal prolapse. |