Operative surgery . much more secure. The Results.—In a patient to whom this treatment w^as applied by Kle-berg a prolapsus a foot in length and six inches in diameter was the end of two months the patient had recovered completely. In anothercase a fatal result followed, due perhaps to the bad state of the patientshealth. Verneuils Method {Proctopexy).—Put the patient in the lithotomy posi-tion and restore in place the prolapse; make outward at right angles withthe antero-posterior diameter of the anus from either side of the opening anincision through the integument and external sp
Operative surgery . much more secure. The Results.—In a patient to whom this treatment w^as applied by Kle-berg a prolapsus a foot in length and six inches in diameter was the end of two months the patient had recovered completely. In anothercase a fatal result followed, due perhaps to the bad state of the patientshealth. Verneuils Method {Proctopexy).—Put the patient in the lithotomy posi-tion and restore in place the prolapse; make outward at right angles withthe antero-posterior diameter of the anus from either side of the opening anincision through the integument and external sphincter, about an inch inlength; make an incision from the tip of the coccyx at each side so as tomeet the terminal points of the preceding ones; dissect and raise frombehind forward the triangular flap, including the subcutaneous cellular tis-sue and the fibers of the external sphincter, leaving them attached at thebase to the tissues surrounding the anus; draw the flap strongly upward,68 980 OPERATIVE Fig. 1211.—Operation for prolapse of the rectum,Tattles metliod. a. Line of incision midwaybetween apex of coccyx and base of Prolapsed rectum. and loosen the posterior wall of the rectum for a distance of two to two anda half inches in width, and to a height equal to tlie distance from the anusto the point of the coccyx. Pass four threads parallel with each other trans-versely through the posterior wall of the rectum, not including the mucousmembrane, placing the upperat a point corresponding withthe tip of the coccyx, and thelower three fifths of an inchfrom the anus; pass a needlewith the eye at the point, fromwithout inward through theskin at places situated an inchand a half from the medianline at either side, and with-draw the needle in turn withthe corresponding end of eachsuture. The extremities of theupper suture should escape ona level with the sacro-coccygealjunction, and those of the lower at the tip of the coccyx. Place the remain-ing sut
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