Complete Procidentia

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Complete procidentia of the colon through the anus, while not a frequent phenomenon, sometimes tax the ingenuity of the most experienced surgeons. The collapse of this term is sometimes used to designate one of the two pathological conditions in which there is herniation of the mucous membrane colonone only, and the other in which the complete lower large intestine wall. In the interest of distinction, however, would seem procidentia of a better term for the latter condition. Dashed line is the mucosa, which is involved in both conditions. Procidentia including the submucosa, muscularis and serosa are determined by the solid line in the image below.Mikulicz operation may be fraught with danger. And Mont Reid has a lot of common procedures. Anatomically, they produce the same results and both were done without laparotomy. Although the peritoneal cavity was opened Mikulicz procedure and the area around the operation area can be examined, but it can not be right to describe the vascular tree.Complete Procidentia more likely than Mont Reid method, in which the sutures eroded surface agglutination causes inflammation of the peritoneum. Mont Reid procedure, it is not possible to determine the nature of the contents of the hernia sac was ligated.Although related to the two cases reported here can be said that the patient's condition contraindicated celiotomy, with this increase in anesthetic and surgical techniques and advances in supportive therapy is spoken, "blind" operation carried out to avoid more extensive procedures can not be forgiven. No one replaces the direct examination.