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Rectal Prolapse
ОглавлениеA prolapsed rectum can be reduced and retained in its normal position by applying a purse‐string suture around the circumference of the anus. Nylon suture (3‐0) on a straight needle is ideal for this purpose. Prior to reducing the prolapse, white granulated sugar can be applied to the prolapsed tissue to alleviate some of the tissue edema. A routine soft tissue instrument set should be sufficient, with the addition of a culturette due to the location of the surgery and concern for contamination. The patient is positioned in sternal recumbency in Trendelenburg position if the surgery table tilts. Alternatively, a rectal stand to elevate the caudal end of the patient to approximately shoulder level of the surgeon can be used.