The following operation which I have devised has been used many times with excellent results. It is applicable to all cases of prolapse of the anus and rectum in which amputation is advisable. It is of value in (1) prolapse of the anus and rectum combined with ulcer, when the bowel is thickened or indurated; (2) irreducible gangrenous or sloughing prolapse; (3) organic stricture; (4) adhesions preventing reduction; (5) neoplasms involving the entire thickness of the intestinal wall, and (6) in procidentia due to organic stricture, in which the stricture has reached the lowest point of the prolapse, the whole may be excised, and thus the stricture and procidentia cured at the same time. It is not intended that this operation take the place of sigmoidopexy or colopexy.
PREPARATION OF THE PATIENT.
In this, as in other operations on the rectum and anus, time spent in the proper preparation of