Perez M, Lefranc J P, Blondon J
Service de Chirurgie Générale, Centre Hospitalier de Neuilly/Seine.
J Chir (Paris). 1991 Nov;128(11):465-9.
From 1966 to 1984, 417 female patients were operated for genital prolapse in the department of surgical gynecology of the Salpêtrière Hospital (Pr Blondon's department). The results of the surgical treatment were studied in the posterior perineum from an anatomical (rectocele) and functional point of view (indiced rectal disorders). This study allows drawing several conclusions: when the context leads to deciding to operate the prolapse through an abdominal approach, it is desirable, in order to reduce the risk of postoperative rectocele, to systematically insert a posterior prosthetic band, which will be tethered as low as possible on the posterior aspect of the vaginal (after a sufficiently low extensive rectovaginal cleaving). The Orr-Loygue rectopexy must remain indicated for rectal prolapse, even more so as it is associated with incontinence. Since this procedure often causes constipation of even more complex exoneration disorders, it must be reserved for prolapse associated to a large rectocele (type IV) or an invalidating dyschezia.
1966年至1984年期间，417名女性患者在萨尔佩特里埃医院（普·布朗东科室）外科妇科接受了生殖器脱垂手术。从解剖学（直肠膨出）和功能角度（诱发的直肠疾病）对后会阴的手术治疗结果进行了研究。这项研究得出了几个结论：当情况导致决定通过腹部入路对脱垂进行手术时，为了降低术后直肠膨出的风险，最好系统地插入一条后修复带，并在阴道后壁尽可能低的位置固定（在进行足够低的广泛直肠阴道分离之后）。奥尔-洛伊格直肠固定术仍适用于直肠脱垂，尤其是当它与失禁相关时。由于该手术常常导致便秘甚至更复杂的排便障碍，因此必须保留用于与大型直肠膨出（IV型）或导致功能丧失的排便困难相关的脱垂。
