Thiersch's Procedure for Rectal Prolapse

Anal encircling (Thiersch procedure) is one of the perineal procedures for rectal prolapse. It was first described in 1891 by Carl Thiersch. This procedure entails encircling and straightening the anal canal with a kind of cord. It was used for rectal prolapse in Japan in the 1960s. Although silver wire was the original material described by Thiersch, nowadays other materials are used: nylon thread, Teflon ® tape or stretchable polyester tape. These variants were conceived to prevent complications, broken wire, anal or perineal erosion, and infection. However, there are many reports of a recurrence rate of over 40 ％ with this procedure; anal encircling combined with another method such as mucosal plication (Gant-Miwa Procedure) has proven to reduce the recurrence rate. Nevertheless, the Thiersch procedure does not require general anesthe-sia, so it is preferred by elderly patients and those who cannot tolerate general anesthesia.

[1]  Y. Hachiro,et al.  Combined ALTA Sclerosing Therapy and Thiersch's Procedure Using Elastic Polyester-Mesh Tape for Complete Rectal Prolapse , 2010 .

[2]  知子 高橋,et al.  伸縮性ポリエステルテープを用いたGant-三輪-Thiersch法 , 2005 .

[3]  T. Yamana,et al.  Mucosal Plication (Gant-Miwa Procedure) With Anal Encircling for Rectal Prolapse—A Review of the Japanese Experience , 2003, Diseases of the colon and rectum.

[4]  H. Yoshida,et al.  Gant-Miwa-Thiersch-Yoshida Method for Complete Rectal Prolapse , 2001 .

[5]  I. Imanaga,et al.  The Na+/Ca2+ Exchanger NCX1 Has Oppositely Oriented Reentrant Loop Domains That Contain Conserved Aspartic Acids Whose Mutation Alters Its Apparent Ca2+Affinity* , 2000, The Journal of Biological Chemistry.

[6]  K. Eu,et al.  Functional problems in adult rectal prolapse and controversies in surgical treatment , 1997, The British journal of surgery.

[7]  T. Iwamoto,et al.  A Novel Isothiourea Derivative Selectively Inhibits the Reverse Mode of Na+/Ca2+ Exchange in Cells Expressing NCX1* , 1996, The Journal of Biological Chemistry.

[8]  D. Hilgemann.  The Cardiac Na‐Ca Exchanger in Giant Membrane Patches , 1996, Annals of the New York Academy of Sciences.

[9]  L. Halme,et al.  Anal encirclement with polypropylene mesh for rectal prolapse and incontinence , 1991, Diseases of the colon and rectum.

[10]  J. Iwadare,et al.  Etiology and Treatment of Rectal Prolapse , 1989 .

[11]  M. Corman.  Rectal prolapse. Surgical techniques. , 1988, The Surgical clinics of North America.

[12]  G. Plasencia,et al.  A new silicone prosthesis in the modified Thiersch operation , 1988, Diseases of the colon and rectum.

[13]  S. Larach,et al.  Modified Thiersch Procedure With Silastic Mesh Implant: A Simple Solution for Fecal Incontinence and Severe Prolapse , 1986, Southern medical journal.

[14]  I. Fraser,et al.  Treatment of rectal prolapse by sphincteric support using silastic rods , 1985, The British journal of surgery.

[15]  A. Smith,et al.  Reappraisal of Thiersch's operation for complete rectal prolapse. , 1985, Journal of the Royal College of Surgeons of Edinburgh.

[16]  P. Berger,et al.  Use of Angelchik Anti-Reflux Prosthesis™ for repair of total rectal prolapse in elderly patients , 1985, Diseases of the colon and rectum.

[17]  B. Hopkinson,et al.  Silicone rubber band treatment of rectal prolapse. , 1980, Annals of the Royal College of Surgeons of England.

[18]  S. Atri.  The treatment of complete rectal prolapse by graciloplasty , 1980, The British journal of surgery.

[19]  W. N. Baker.  Results of using monofilament nylon in Thiersch's operation for rectal prolapse , 1970, The British journal of surgery.

[20]  N. Porter.  Collective results of operations for rectal prolapse. , 1962, Proceedings of the Royal Society of Medicine.

[21]  A. Schwartz,et al.  Use of polyethylene in the thiersch operation , 1962, Diseases of the colon and rectum.