Inspection and digital rectal examination reveal a gaping anus and significantly reduced sphincter tone. After slow manual stretching of the sphincter, insert the Parks retractor. Withdraw the prolapsed rectum before the anus with Allis clamps. Even after removing the Parks retractor, the prolapse does not spontaneously reduce, but remains a few centimeters outside the anus. This confirms the diagnosis of a rectal prolapse grade III.
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Findings
![Findings]()
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Inserting the anal retractor, incising the rectal mucosa
![Inserting the anal retractor, incising the rectal mucosa]()
Soundsettings Expose the dentate line with a Lone Star retractor. Next, mark as a circle and incise the rectal mucosa 1-2 cm proximal to the dentate line with the monopolar needle electrode.
Dissecting the rectal mucosa off the muscle layer
After injection of physiological saline or Ringer solution, start the dissection anteriorly from th
After injection of physiological saline or Ringer solution, start the dissection anteriorly from th
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