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July 30, 1932


Author Affiliations

Proctologist, Department Head, Detroit Receiving Hospital; Associate Proctologist, Harper Hospital; Consulting Proctologist in Charge, Grace Hospital DETROIT

JAMA. 1932;99(5):368-372. doi:10.1001/jama.1932.02740570014005

Prolapse of the rectum is an inclusive term indicating an abnormal descent, in varying degrees, of one or all layers composing the pelvic colon and rectum.

In this discussion, I wish it understood that it is not my intention to be hypercritical of others, nor do I claim any particular originality. I have reclassified prolapse ofthe rectum, calling that condition which has always been classified as third degree, first degree; the condition of complete prolapse commonly referred to as first degree, I have reclassified as third degree or complete colorectal and anal prolapse. The principle of the operative technic that I shall describe was outlined early by Lenormant;1 he claimed priority for Jeannel, who by a colostomy in 1899 held the ptosed colon in position for the cure of rectal prolapse. The technic that I employ is a modification of that of Sir Charles Ball,2 who reported five

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