Transperineal prolapse bowel resection

Perineal prolapsed bowel resection for surgical treatment of rectal prolapse. Most authors advocate the removal of the prolapsed intestine in the first stage of the perineum. The advantages are: 1 from the perineum, can see the anatomical variation, easy to repair; 2 because there is no need for laparotomy, the anesthesia is not too deep, the elderly are easy to tolerate surgery; At the same time repair the sliding sputum, and remove the lengthy bowel; 4 no need to transplant artificial fabrics, reduce the chance of infection; 5 mortality and recurrence rate is low. Treatment of diseases: rectal prolapse Indication Perineal prolapsed bowel resection is applicable to: 1. Elderly rectal prolapse. 2. The prolapse time is long, can not be reset or the intestines are necrotic. Surgical procedure 1. The prolapsed intestine is clamped and pulled out with a tissue forceps, and the mucosa and muscle layer are cut open at a distance of 3 mm on the tooth line, and the outer layer of the intestinal wall is pulled downward to show the inner layer; the incision with the rectal prolapse, the bladder The sac formed by the descending peritoneum of the rectal fosae, and the part of the sigmoid colon and rectum that are long due to prolapse are pulled out through the capsule. 2. After suturing the peritoneal sac in the high position, suture the levator ani muscle in front of the B and the rectum. 3. Cut the prolapsed intestine at the tooth line, ligature the bleeding point in turn, and use the chrome gut line for the intermittent end-end anastomosis. 4. After the operation is completed, the anus is filled with an anal canal wrapped with Vaseline gauze. complication Postoperative complications mainly include the following two categories: 1. Early complications of perineal abscess, cystitis, pyelonephritis, atelectasis, cardiac insufficiency, hepatitis, ascites. 2. Late complications of pelvic abscess, rectal stenosis, recurrence of prolapse.