title: [Surgical methods in anal and rectal prolapse].
abstract: Anal prolapse in adults is cured by the Milligan-Morgan procedure. Operation for the rectal prolapse has to repair procidentia, incontinence and obstipation. Procidentia and incontinence in low-risk patients are best repaired by abdominal rectopexy with or without plastic materials (Ripstein's procedure is preferred). Obstipation remains a long-term problem. Rectopexy in combination with sigmoid resection (Goldberg) improves obstipation, but there is leakage in 4% of the patients. The perineal approach offers no technical advantage. Perineal rectopexy, prolapse resection and Thiersch ring with modifications are preferred in high-risk cases. Posterior levator plastic improves remaining incontinence.
authors.affiliation: Klinik und Poliklinik für Chirurgie, Karl-Marx-Universität Leipzig, DDR.
authors.forename: S
authors.initials: S
authors.lastname: Kiene
mesh_terms: D005242:Fecal Incontinence / Q000601:surgery; D006484:Hemorrhoids / Q000601:surgery; D006801:Humans; D009132:Muscles / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D019736:Prostheses and Implants; D012005:Rectal Prolapse / Q000601:surgery*; D012007:Rectum / Q000601:surgery
vernacular_title: Operationsmethoden bei Anal- und Rektumprolaps.