Scientific paper| Volume 124, ISSUE 3, P381-383, September 1972

Sacrofixation with marlex in total prolapse of the rectum

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      Rectal fixation to the sacrum is considered the most rational operation in the surgical treatment of massive or complete prolapse of the rectum, since it eliminates the anatomic defect which is fundamental in the pathogenesis of this disease.
      Teflon mesh has been advocated as the prosthetic material used in sacrofixation of the rectum. A variant described in this report consists of using Marlex mesh instead of Teflon. Marlex is a synthetic material derived from propane gas and is nonreactive in human tissues. Its successful use in the repair of large ventral hernias suggested its suitability for rectofixation.
      In the six cases operated on, no postoperative complications were observed. Even though the follow-up period is still short, no recurrences have been observed in any of the patients.
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        • Beahrs OH
        • Vandertoll DJ
        • Baker NH
        Complete rectal prolapse. An evaluation of surgical treatment.
        Ann Surg. 1965; 2: 211
        • Fry K
        • Griffiths JD
        • Smart PJG
        Some observation on the movement of the pelvic floor and rectum with special reference to rectal prolapse.
        Brit J Surg. 1966; 53: 748
        • Goligher JC
        The treatment of complete prolapse of the rectum by the Roscoe Graham operation.
        Brit J Surg. 1958; 45: 323
        • Permberton JJ
        • Stalker LK
        Surgical treatment of complete rectal prolapse.
        Ann Surg. 1939; 109: 799
        • Muir EG
        Surgical treatment of severe rectal prolapse.
        in: Proc Roy Soc Med. 52. 1959: 104 (suppl)
        • Ripstein CB
        • Lanter B
        Etiology and surgical therapy of massive prolapse of the rectum.
        Ann Surg. 1963; 157: 259
        • Altemeier WA
        • Culbertson WR
        • Alexander JW
        One-stage perineal repair of rectal prolapse.
        Arch Surg. 1964; 89: 6
        • Goligher JC
        Prolapse of the rectum.
        Postgrad Med J. 1964; 40: 125
        • Walker GL
        • Nigro ND
        The choice of an operation for massive rectal prolapse.
        Surg Clin N Amer. 1965; 45: 293
        • Dunphy JE
        Combined perineal and abdominal operation for repair of rectal prolapse.
        Surg Gynec Obstet. 1948; 86: 493
        • Swinton NW
        • Palmer TE
        The management of rectal prolapse and procidentia.
        Amer J Surg. 1960; 99: 144
        • Tendler MJ
        Massive prolapse of the rectum.
        Arch Surg. 1956; 72: 667
        • Schwartz A
        • Marin R
        • Wauch A
        Procidencia del recto.
        in: Anales del III Congreso de la ALAP, Santiago de ChileSeptiembre 1966: 369
        • Calne RY
        Ivalon wrap operation for rectal prolapse.
        in: Proc Roy Soc Med. 59. 1966: 127
        • Ellis H
        The polyvinyl sponge wrap operation for rectal prolapse.
        Brit J Surg. 1966; 53: 675
        • Wells C
        New operation for rectal prolapse.
        in: Proc Roy Soc Med. 52. 1959: 602
        • Romero-Torres R
        El Marlex en el tratamiento quirurgico de las grandes eventraciones y hernias recidivadas.
        in: XVI Congreso Peruano de Cirugia, Lima, PeruMarzo 1968