Karateke Ateş, Batu Pınar, Asoğlu Mehmet Reşit, Selçuk Selçuk, Cam Cetin
Department of Obstetrics and Gynecology, Faculty of Medicine, Yeditepe University, İstanbul, Turkey.
Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Researching Hospital, İstanbul, Turkey.
J Turk Ger Gynecol Assoc. 2012 Mar 1;13(1):70-3. doi: 10.5152/jtgga.2011.67. eCollection 2012.
The classic description of rectal prolapse is a protrusion of the rectum beyond the anus. Peaks of occurrences are noted in the fourth and seventh decades of life, and most patients (80-90%) are women. The condition is often concurrent with pelvic floor descent and prolapse of other pelvic floor organs, such as the uterus or the bladder. In this study, two cases having contraindication to general anesthesia with rectal and uterine prolapse are presented. These cases were operated on under local anesthesia with support of sedation by Leforte and Delorme's operation at the same time. In conclusion; pelvic floor disorders should be considered as a whole, and surgical correction of rectal prolapse and uterine prolapse may be done at the same time under local anesthesia with the support of sedation. Performance of these operations by experienced and trained pelvic reconstructive surgeons may be advocated.
直肠脱垂的经典描述是直肠突出于肛门之外。发病高峰出现在生命的第四个和第七个十年，大多数患者（80-90%）为女性。该病症常与盆底下降及其他盆底器官（如子宫或膀胱）脱垂同时存在。在本研究中，呈现了两例因直肠和子宫脱垂而有全身麻醉禁忌证的病例。这些病例在局部麻醉并辅以镇静的情况下，同时采用勒福尔特和德洛姆手术进行治疗。总之，应将盆底疾病视为一个整体，直肠脱垂和子宫脱垂的手术矫正可在局部麻醉并辅以镇静的情况下同时进行。提倡由经验丰富且经过培训的盆底重建外科医生来实施这些手术。
