Rectal prolapse historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]

Overview

In medieval times, scientists suggested that rectal prolapse could be prevented by using a scar (through burning the anus) or by using a stick. In the 20th century, rectal prolapse was studied scientifically and Nowadays there are various surgical methods for rectal prolapse treatment.

Historical Perspective

  • Historically, rectal prolapse was described on papyrus in 1500 BC.
  • In 1912, Moschowitz described the anatomical basis for a rectal prolapse (the anterior rectovaginal pouch is abnormally deep). They suggested that in rectal prolpase anterior rectal wall is herniated to the defect of the pelvic fascia.
  • In 1968, Broden and Snallmann suggested that rectal intussusception is the cause of rectal prolapse.
  • In 1970, Theuerkauf et al. confirmed this theory that intussusception cause rectal prolapse by using radiographs.
  • In 1977, they confirmed perineal nerve injury in patients with rectal prolapse by performed biopsies of the pelvic floor in patients undergoing posterior repair.[1][2]

Landmark Events in the Development of Treatment Strategies

Hippocrates suggested a treatment for rectal prolapse; the patients could be treated by hanging them to a tree upside down, applying sodium hydroxide to the mucosa, and fixing for 3 days. In medieval times, scientists suggested that rectal prolapse could be prevented by using a scar (through burning the anus) or by using a stick. In the 20th century, rectal prolapse was studied scientifically and nowadays there are various surgical methods for rectal prolapse treatment.[2]

References

  1. Holzheimer, R (2001). Surgical treatment : evidence-based and problem-oriented. München New York: Zuckschwerdt. ISBN 3-88603-714-2.
  2. 2.0 2.1 Shin EJ (2011). "Surgical treatment of rectal prolapse". J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.

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