Romero-Torres R
Surg Gynecol Obstet. 1979 Nov;149(5):709-11.
Rectal fixation to the sacrum is considered the most rational operation in the surgical treatment of massive or complete prolapse of the rectum, since it eliminates the anatomic defect which is fundamental in the pathogenesis of this disease. Many techniques have been used to join the posterior wall of the rectum to the sacrum, ranging from the use of simple sutures with nonabsorbable material to prosthetic materials, such as Teflon sheets or Ivalon, polyvinyl, sponges which are placed around the rectum and attached to the sacrum. A variant consists of using Marlex mesh instead of Teflon. In an experience with 24 patients, only one patient died postoperatively. In a follow-up period of ten years, no recurrences have been observed in any of the remaining patients.
直肠骶骨固定术被认为是直肠巨大脱垂或完全脱垂手术治疗中最合理的术式，因为它消除了该病发病机制中的基本解剖缺陷。许多技术已被用于将直肠后壁与骶骨连接，从使用不可吸收材料的简单缝线到人工材料，如置于直肠周围并附着于骶骨的特氟龙片、聚乙烯醇海绵。一种变体是使用Marlex网片代替特氟龙。在24例患者的经验中，只有1例患者术后死亡。在十年的随访期内，其余患者均未观察到复发。
