Greene F L
Arch Surg. 1983 Apr;118(4):398-401. doi: 10.1001/archsurg.1983.01390040010002.
Many procedures have been described for the repair of rectal prolapse. Some are associated with a high recurrence rate and do not correct associated fecal incontinence. During the last four years, we have operated on 15 patients using a puborectal sling fashioned of polypropylene mesh. Nine were women and six were men, with ages ranging from 25 to 72 years. Eight patients had fecal incontinence. During a follow-up of six months to four years, rectal prolapse did not recur. Fecal incontinence was totally resolved in all cases. The morbidity and death rates were both 0%, and no long-term problems have been associated with use of the synthetic material. This procedure is a sound alternative for patients with complete rectal procidentia and fecal incontinence, as it corrects the associated anatomic defect of the anorectal angle.
已经描述了许多用于修复直肠脱垂的手术方法。有些方法复发率高，且不能纠正相关的大便失禁问题。在过去四年中，我们对15例患者进行了手术，采用聚丙烯网制成的耻骨直肠吊带。其中9例为女性，6例为男性，年龄在25至72岁之间。8例患者有大便失禁。在6个月至4年的随访期间，直肠脱垂未复发。所有病例的大便失禁均完全解决。发病率和死亡率均为0%，使用合成材料未出现长期问题。对于完全性直肠脱垂和大便失禁患者，该手术是一种可靠的选择，因为它纠正了相关的肛管直肠角解剖缺陷。
