Surgical Therapy

Rectal prolapse in children is generally treated conservatively, whereas surgical repair is suggested for adults. In 1912, Moschcowitz presented his theory that rectal prolapse is a sliding hernia and he suggested obliteration of the deep cul-de-sac of Douglas as treatment, but this method had a high recurrence rate.

Today both abdominal and perineal approaches are used. Abdominal approaches include different types of rectal suspension and fixation and they usually have low recurrence rates (Table 89-1). Perineal approaches have higher recurrence rates and they are usually reserved for elderly patients or patients with concomitant health problems.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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