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Thiersch's Operation1.

Edward Wilson1

  • 1Sydney Hospital and St. George Hospital, Sydney.

The Australian and New Zealand Journal of Surgery
|December 22, 2017
PubMed
Summary

Thiersch's operation offers a minimally invasive approach for complete rectal prolapse, suitable even for patients in poor health. This surgical technique, utilizing a stainless steel wire, has proven effective in managing rectal prolapse, particularly in high-risk individuals.

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Surgical Procedures

Background:

  • Complete rectal prolapse is a condition requiring surgical intervention.
  • Traditional surgical methods may pose risks for patients with poor general health.
  • Thiersch's operation has seen a resurgence in recent years.

Purpose of the Study:

  • To evaluate the efficacy and safety of Thiersch's operation for complete rectal prolapse.
  • To determine the suitability of Thiersch's operation for high-risk patients.

Main Methods:

  • Review of 32 cases treated with Thiersch's operation.
  • Implementation of Thiersch's operation using a braided stainless steel wire placed deeply in perianal tissues.

Main Results:

  • Thiersch's operation was found to be a minimally disturbing procedure.
  • The operation can be performed regardless of the patient's general condition.
  • Successful outcomes were observed in the series of 32 cases.

Conclusions:

  • Thiersch's operation is a viable and least disturbing option for complete rectal prolapse.
  • It is particularly recommended for poor-risk patients with complete rectal prolapse.
  • The technique, using a wide ring of braided stainless steel wire, merits a place in surgical practice for specific cases.

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