Chaloner E J, Duckett J, Lewin J
Royal London Hospital, England.
J R Soc Med. 1996 Dec;89(12):688-9. doi: 10.1177/014107689608901208.
During the 1994 crisis in Rwanda, a high incidence of full-thickness rectal prolapse was noted among the refugee children in the south-west of the country. The prolapses arose as a result of acute diarrhoeal illness superimposed on malnutrition and worm infestation. We used a modification of the Thiersch wire technique in 40 of these cases during two months working in a refugee camp. A catgut pursestring was tied around the anal margin under local, regional or general anaesthesia. This was effective in achieving short-term control of full-thickness prolapse until the underlying illness was corrected. Under the circumstances, no formal follow-up could be arranged; however, no complications were reported and only one patient presented with recurrence.
在1994年卢旺达危机期间，该国西南部的难民儿童中出现了高发病率的全层直肠脱垂。这些脱垂是由急性腹泻病叠加营养不良和蠕虫感染所致。在难民营工作的两个月期间，我们对其中40例采用了改良的蒂尔施钢丝技术。在局部、区域或全身麻醉下，在肛门边缘系上肠线荷包缝线。这有效地实现了对全层脱垂的短期控制，直至潜在疾病得到纠正。在当时的情况下，无法安排正式的随访；然而，没有并发症报告，只有一名患者出现复发。
