على الرغم من التقدم الكبير في الجراحة، مازال اختيار الطريقة المناسبة لمعالجة هبوط المستقيم التام موضع جدل بالنظر لقلة حدوث الإصابة، الأمر الذي يعد سبباً لعدم وجود دراسات معشاة واسعة تؤكد تفوق طريقة على أخرى.
تسليط الضوء على عملية جراحية قلما ذكرت في الأدب الطبي، و هي عملية زودك (1922) Sudeck's operation و التعديلات التي أجريتها عليها، علماً أنها تجري عبر البطن و تمتاز بأّنها تتناول إصلاح أكثر من جانب مرضي لهبوط
المستقيم التام لدى البالغين و بنتائج مشجعة جداً.
In spite of the significant progress in surgery , the "best" surgical technique for
the management of complete rectal prolapse remains controversial, due to its low incidence, which is the
cause that there are no large prospective randomized trials to attest to the superiority of one operation
over an other.
mentioned in the medical Purpose: To highlight the Sudeck's operation (1922), that is rarely literature;
and the modifications which I conducted on it. This operation is performed transabdominal and its
characterized by the fact that it reforms more than one pathological side of the rectal prolapse in adults;
with very encouraging results.
References used
Jacobs LK, Lin YJ, Orkin BA. The best operation for rectal prolapse. Surg Clin North Am. 1997;77:49-70
Boutsis C, Ellis H. The Ivalon-sponge-wrap operation for rectal prolapse: an experience with 26 patients. Dis Colon Rectum 1974; 17:21–37
Moschcowitz AV. The pathogenesis, anatomy and cure of prolapse of the rectum.Surg Gynecol Obstet 1912; 15:7–21
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Myoc
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