2. Procidentia of the Rectum in Japan

概要

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Eight hundred and twenty seven cases with rectal prolapse have been reported from 87 hospitals in Japan and a statistic survey was carried out on these cases. The rectal prolapse in our country was more common in the male than in the female, and the ratio of the male to the female was five third. As the age distribution concerned, the male patients were rather young than the female in average. Types of the rectal prolapse were classified as to be followed ; complete rectal prolapse (67%), incomplete prolapse (26%) and others. The duration of symptoms was 14.9 years in average, and 35% of the all cases were suffered from the rectal prolapse for more than ten years. Fourteen percent of the patients were treated conservatively and the rest of the cases were to be cured surgically. Fifty seven per cent of the surgical cases were done through the anus and 36% were treated through the abdominal approach. Various kinds of the surgical correction were performed on these patients, and the most popular method was Gant's multiple ligation of the protruded rectal wall. So called sling operation as described by Ripstein and others has not been popular in Japan, but the cases treated in. this procedure are increasing recently.