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There is no operation, so far as I know, that is wholly satisfactory for prolapse of the rectum. I will not discuss the multitudinous views held by various authorities as to the cause of prolapse, as they are too well known to need description. The number of operations that have been suggested is sufficient evidence to prove that no special one is entirely acceptable.
It would be difficult to imagine a prolapse associated with a very short sigmoid; therefore we must assume that a long sigmoid is the first requisite to bring about this condition. I do not deny, as has been pointed out by Quénu and Moschcowitz, that a deep culdesac is a predisposing factor; but there are other anatomic factors besides a long sigmoid that enter into the mechanism of prolapse; namely, the loose connective tissue at the peritoneal reflection, the lateral ligaments and the levator muscle, all
LYNCH JM. A NEW OPERATION FOR PROLAPSE OF THE RECTUM: PRELIMINARY REPORT. JAMA. 1924;82(24):1929–1930. doi:10.1001/jama.1924.02650500025012
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