New treatment for rectal prolapse in anorectology Rectal prolapse refers to the downward displacement of the anal canal, rectum and even the lower end of the sigmoid colon. Only mucous membrane prolapse is called incomplete prolapse, and full prolapse of rectum is called complete prolapse. If the prolapsed part is in the anorectum, it is called internal prolapse or internal prolapse, and if it is outside the anus, it is called external prolapse. Rectal prolapse is common in children, elderly people and menstruating mothers. In children, the prolapse disappears gradually and heals spontaneously by the age of 5 years because the sacral curvature gradually develops and can effectively support the posterior rectal wall. In the adult type, prolapse will gradually increase as long as the cause of rectal prolapse exists. Prolonged prolapse will result in fecal incontinence due to nerve damage in the pubic area. Complete prolapse in adults severely affects the patient’s quality of life. Patients with severe rectal prolapse are often unable to tolerate heavy physical labor and are treated repeatedly in many places, ineffectively and repeatedly. After long-term clinical practice, the Department of Anorectal Medicine of our hospital has summarized a variety of treatment methods with definite efficacy: I. Conservative Chinese medicine treatment For those with internal prolapse or mild prolapse, according to the patient’s four diagnoses, identify and treat the symptoms, and take tonifying qi ascending and lifting soup, tonifying qi fixing and removing soup or fixing and removing kidney soup, etc., and add or subtract with the symptoms. Second, surgical treatment 1, PPH surgery: for mild rectal mucosal prolapse; 2, modified triple therapy: rectal prolapse where the anal contraction is weak or the anus is already flaccid. Mainly improved anal contraction materials to reduce or eliminate recurrence; 3.Injectable solid prolapse therapy: alum prolapse solution or elimination of hemorrhoid injection is most commonly used (our hospital is now the national clinical promotion unit of solid prolapse therapy promoted by the World Federation of Chinese Medicine Solid Prolapse Branch): (1) subrectal mucosal injection method: applicable to children with Ⅰ and Ⅱ degree rectal prolapse and no obvious anal relaxation, but for those with acute inflammation of the rectum, diarrhea, and a large number of bowel movements should not be used. (2) perirectal injection method: applicable to adults with Ⅱ and Ⅲ degree rectal prolapse, but not suitable for patients with enteritis, dysentery, diarrhea and acute inflammation of the anorectum. 4.Trans-abdominal rectal anterior suspension fixation (Ripstein surgery); 5.Trans-anal loop resection: trans-anal prolapsed bowel loop resection, rectal or sigmoid anal anastomosis, anal loop reduction surgery style, removing the redundant rectum and sigmoid colon, making no excess bowel prolapse, eradicating the intestinal tract itself defects, avoiding post-operative recurrence, not only the recurrence rate is significantly reduced, but also the post-operative patient functional recovery is more The recurrence rate is significantly reduced, and the functional recovery of patients after surgery is also more desirable. At the same time, the damage to the genitourinary nerve caused by the rectal free and fixed type of transabdominal surgery is avoided, and the genitourinary function is protected. It can be performed under epidural and sacral anesthesia, and is suitable for high-risk patients with cardiopulmonary and cerebral disorders. The composite procedure is an effective treatment for rectal prolapse, which basically neither destroys the anatomical structure of the anus nor affects its function, and has the advantages of safety and reliability, exact efficacy, few side effects, little trauma and low recurrence rate.