Tsugawa C, Matsumoto Y, Nishijima E, Muraji T, Higashimoto Y
Department of Surgery, Kobe Children's Hospital, Japan.
J Pediatr Surg. 1995 May;30(5):692-3. doi: 10.1016/0022-3468(95)90692-4.
Fourteen patients with rectal prolapse (age range, 1 to 12 years) underwent posterior plication of the rectum for rectal prolapse. The procedure consisted of (1) natal cleft incision, (2) midline separation of the levator muscle, (3) dissection of two thirds of the circumference of the rectum, (4) plication of the posterior wall of the rectum using U-shaped mattress sutures, and (5) fixation of the sutures of the rectal wall to the coccyx. There has been no recurrence of prolapse in any of the patients. The authors' experience suggests that an elongated rectum is responsible for prolapse. This simple but definitive technique is recommended.
14例直肠脱垂患者（年龄范围为1至12岁）接受了直肠后折叠术治疗直肠脱垂。该手术包括：（1）肛门裂切口；（2）肛提肌中线分离；（3）直肠三分之二周径的解剖；（4）使用U形褥式缝线对直肠后壁进行折叠；（5）将直肠壁缝线固定于尾骨。所有患者均未出现脱垂复发。作者的经验表明，直肠延长是导致脱垂的原因。推荐这种简单但有效的技术。
