Dadan H, Tołwiński W, Kamocki Z, Okulczyk B, Cepowicz D
Department of Gastroenterological Surgery, Medical Academy of Białystok.
Rocz Akad Med Bialymst. 1996;41(2):505-14.
In the years 1972-1995 41 patients suffering from prolapse of the rectum were operated according to the Moore method. The method is based on the observations which suggest that the cause of prolapse is intestinal intussusception which can be prevented by translocating the anus under the pubic joint. The observation time is from 1 to 23 years. Two patients were reoperated; one-as a result of a recurrence of rectal prolapse and one due to a post-operative adhesive ileus. One patient died as result of peritonitis following an overlooked microperforation in the rectal wall. In the case of the remaining patients, the treatment was fully successful. Regular defecation cycle as well as incontination of stool and flatus returned and the anal sphincters almost fully regained their tension in comparison to the pre-operative state. Early and distant results of surgery of prolapse of the rectum are satisfactory.
1972年至1995年间，41例直肠脱垂患者按照穆尔方法接受了手术。该方法基于这样的观察结果，即脱垂的原因是肠套叠，可通过将肛门移位至耻骨联合下方来预防。观察时间为1至23年。两名患者接受了再次手术，一名是由于直肠脱垂复发，另一名是由于术后粘连性肠梗阻。一名患者因直肠壁微小穿孔未被发现导致腹膜炎而死亡。其余患者的治疗完全成功。与术前状态相比，排便周期恢复正常，大便和气体失禁情况改善，肛门括约肌张力几乎完全恢复。直肠脱垂手术的近期和远期效果令人满意。
