Altemeier procedure for surgical treatment of full thickness external rectal prolapse (with video)

Author(s):  
V. Faugeroux ◽  
O. Ahmed ◽  
C. Trésallet
2020 ◽  
Vol 8 (8) ◽  
pp. 4267-4270
Author(s):  
Sapna Maheshwari ◽  
Harshit Shah ◽  
Pragnesh Patel

Rectal prolapse can present in a variety of forms and is associated with a range of symptoms including pain, incomplete evacuation, bloody and/or mucous rectal discharge, and fecal incontinence or constipa-tion. Complete external rectal prolapse is characterized by a circumferential, full-thickness protrusion of the rectum through the anus, which may be intermittent or may be incarcerated and poses a risk of strangu-lation. There are multiple surgical options to treat rectal prolapse, and thus care should be taken to under-stand each patient’s symptoms, bowel habits, anatomy, and pre-operative expectations. We propose an al-gorithm based on available outcomes data in the literature, an understanding of ano-rectal physiology, and expert opinion that can serve as a guide to determining the rectal prolapse operation that will achieve the best possible postoperative outcomes for individual patients. Mushakadi Taila Matrabasti will be given in Sushrut Samhita as a treatment1 with perineal repair. So, it is really needed to find a safe, easier, less com-plicating, cost effective and fruitful approach for the management of disease through Ayurveda. A 62year old male patient came to the hospital with chief complaints of protrusion of mass from the anus with mu-cous discharge, constipation since last 5 years. He was diagnosed as complete rectal prolapse. Considering the signs and symptoms of rectal prolapse, the treatment of rectal prolapsed was planned with perineal re-pair and Mushakadi Taila Matarabasti as per mentioned in the treatment of Gudabhransha by Aacharya Sushruta.


2020 ◽  
Vol 22 (7) ◽  
pp. 842-843
Author(s):  
N. E. Samalavicius ◽  
P. Kavaliauskas ◽  
D. Simcikas ◽  
A. Dulskas

Author(s):  
Thibault De Schlichting ◽  
Gilles Poncet ◽  
Paul Bufacchi ◽  
Arnaud Pasquer

2016 ◽  
Vol 18 (11) ◽  
pp. 1094-1100 ◽  
Author(s):  
M. Mistrangelo ◽  
P. Tonello ◽  
R. Brachet Contul ◽  
G. Arnone ◽  
R. Passera ◽  
...  

2017 ◽  
Vol 4 (4) ◽  
pp. 1447
Author(s):  
Naueen Akbar Chaudhry ◽  
Kristina Go ◽  
Atif Iqbal

An 86-year-old female presented with the first episode of an incarcerated full thickness rectal prolapse, concerning for ischemia of the prolapsed segment. Intra-operatively, the patient was noted to have an enterocele containing a 20-25 cm segment of strangulated and perforated small bowel. She underwent a perineal rectosigmoidectomy (altemeier procedure) with levatorplasty followed by a small bowel resection and anastomosis trans-abdominally.


Author(s):  
Nuhi Arslani ◽  
Basri Lenjani

Background: Prolapse of the rectum is an uncommon problem. It is defined as a protrusion of the rectum through the anus and can cause disability. There is no concensus in literature which surgical approach is the most appropriate. The aim of our case report is to share our experiance and results of the Altemeier procedure.  Case report: 83 years old female patient was admited to the department for general and abdominal surgery. She was diagnosed with rectal prolapse, which could not be reponated. She felt pain and was incontinent.  Results: We decided that optimal treatment for the patient was operation. Altemeier approach was performed. In our opinion, we achieved a favorable outcome.  Conclusion: As stated above there is no clear concensus on which treatment is the most appropriate for rectal prolaps. In our case after careful consideration, we decided that the Altemeier approach was the best solution for the patient.   


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kosuke Toda ◽  
Taro Aoyama ◽  
Kenjiro Hirai ◽  
Taisuke Uemura ◽  
Haruku Fujita ◽  
...  

Abstract Introduction The optimal procedure for recurrent external rectal prolapse remains unclear, particularly in laparoscopic approach. In addition, pelvic organ prolapse (POP) is sometimes concomitant with rectal prolapse. We present a case who underwent laparoscopic procedure for the recurrence of full-thickness external rectal prolapse coexisting POP. Case presentation An 81-year-old parous female had a 10-cm full-thickness external rectal prolapse following the two operations: the first was perineal recto-sigmoidectomy and the second was laparoscopic posterior mesh rectopexy. Imaging study revealed that the recurrent rectal prolapse was concomitant with both cystocele and exposed vagina, what we call POP. We planned and successfully performed laparoscopic ventral mesh rectopexy (LVMR) with laparoscopic sacrocolpopexy (LSC) using self-cut meshes without any perioperative complication. Conclusion This is the first report of LVMR and LSC for recurrent rectal prolapse with POP following the perineal recto-sigmoidectomy and laparoscopic posterior mesh rectopexy. Even for recurrent rectal prolapse with POP, our experience suggests that LVMR and LSC could be utilized.


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