A new modified Gant-Miwa-Thiersch combined with submucosal and perirectal sclerosant injection procedure for full-thickness rectal prolapse in elderly women: clinical analysis of 34 cases

摘要

Operative procedure for a new modified Gant-Miwa-Thiersch (GMT) combined with internal and external rectal sclerosant injection (nmGMTSI). a The prolapsed rectum was pulled out of the anus completely. Grips of the rectal mucosa were transfixed by a 2/0 Vicryl thread at the 3, 6, 9, and 12 o’clock positions, 5 cm above the surface of the prolapsed mucosa. b Grips of rectal prolapsed mucosa were transfixed by silk thread. c Sclerosant was injected into the rectal submucosa proximal to mucosal plication. d The prolapsed rectal mucosa 1 cm above the dentate line was sutured with the previous uncut Vicryl thread 2/0. e The prolapsed rectum was restored completely by tightening the Vicryl thread. f Sclerosant was injected into the pelvic rectum space. g Anatomic drawings of the injection in the pelvic rectum space. h The Thiersch procedure was performed. i The results on clinical follow-up three months after surgery