Nasrallah N, Rabau M, Michowitz M, Lelcuk S
Dept. of Surgery C, Ichilov Hospital, Tel Aviv Medical Center.
Harefuah. 1992 Jun 15;122(12):771-3, 819.
Surgery for complete rectal prolapse was performed in 17 women and 3 men between November 1986 and April 1991. An abdominal approach with posterior rectopexy was used in 17. The Thiersch procedure of anal narrowing was performed in 3 high risk patients. All recovered without major complications. Urinary tract infection developed in 15% and postoperative fecal impaction in 10%. Anal continence improved in 70% of those previously incontinent. There was no recurrence of complete rectal prolapse during follow-up. All patients rated the operative results as either good or very good.
1986年11月至1991年4月期间,对17名女性和3名男性进行了完全性直肠脱垂手术。17例采用经腹后路直肠固定术。3例高危患者进行了肛门缩窄的蒂尔施手术。所有患者均康复,无重大并发症。15%的患者发生尿路感染,10%的患者出现术后粪便嵌塞。70%既往大便失禁的患者肛门节制功能得到改善。随访期间未出现完全性直肠脱垂复发。所有患者对手术结果的评价均为良好或非常好。