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W. A. ALTEMEIER, M.D.; JEROME GIUSEFFI, M.D.; PAUL HOXWORTH, M.D.

AMA Arch Surg. 1952;65(1):72-80.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE REPAIR of complete rectal prolapse in aged or debilitated patients requires the use of a surgical procedure which is followed by a high percentage of cure, a low mortality, and minimal morbidity. The large number of operations which have been suggested, tried, and often abandoned is indicative of the difficulties attending the management of rectal prolapse and of the frequency of unsatisfactory results. In general, the principles involved in the various operative procedures which have been advocated include the following: (1) resection of the protruding bowel; (2) reduction of the size of the anus and lower rectum; (3) plastic reconstruction or reinforcement of the perineal floor; (4) abdominal suspension, fixation, or both, of the prolapsed bowel, and (5) obliteration of the cul-de-sac.

The studies of Moschcowitz,¹ Todd,² Graham,³ and Orr⁴ have shown that a large rectal prolapse is essentially a sliding hernia of the anterior . . . [Full Text PDF of this Article]

Author Affiliations
CINCINNATI

From the Department of Surgery of the University of Cincinnati College of Medicine and Cincinnati General Hospital.

Footnotes
Read at the Fifty-Ninth Annual Meeting of the Western Surgical Association, Colorado Springs, Colo., Nov. 30, 1951.

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