How to do an Altemeier perineal rectosigmoidectomy for full‐thickness rectal prolapse

2021 ◽  
Author(s):  
Shinichiro Sakata ◽  
Nicholas P. McKenna ◽  
Ahmed Allawi ◽  
Anne‐Lise D. D'Angelo ◽  
Heidi K. Chua ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Perineal Rectosigmoidectomy

Outcome Analysis of Perineal Rectosigmoidectomy for the Treatment of Full Thickness Rectal Prolapse

2006 ◽  
Vol 101 ◽  
pp. S200
Author(s):  
Manuel Caceres-Serrano ◽  
Javier Salgado ◽  
Shawna B. Salamon ◽  
James T. McCormick ◽  
Robert P. Akbari ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Outcome Analysis ◽  
Full Thickness ◽  
Perineal Rectosigmoidectomy

scholarly journals Rectal prolapse: rare presentation and complication

2017 ◽  
Vol 4 (4) ◽  
pp. 1447
Author(s):  
Naueen Akbar Chaudhry ◽  
Kristina Go ◽  
Atif Iqbal
Keyword(s):  
Small Bowel ◽  
Rectal Prolapse ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
First Episode ◽  
Full Thickness ◽  
Rare Presentation ◽  
Perineal Rectosigmoidectomy ◽  
Altemeier Procedure ◽  
Resection And Anastomosis

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.

Perineal rectosigmoidectomy (Altemeier's procedure) for the treatment of full‐thickness rectal prolapse – a video vignette

2019 ◽  
Vol 21 (9) ◽  
pp. 1091-1092
Author(s):  
P. García‐Muñoz ◽  
I. Ramallo‐Solís ◽  
R. Jiménez‐Rodríguez ◽  
M. L. Reyes‐Díaz ◽  
F. de la Portilla
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Perineal Rectosigmoidectomy ◽  
Video Vignette

scholarly journals Handsewn perineal rectosigmoidectomy (Altemeier) for complete full-thickness rectal prolapse: a case study

2018 ◽  
Vol 9 (3) ◽  
pp. 195-201
Author(s):  
Adeodatus Yuda Handaya ◽  
Aditya Rifqi Fauzi
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Perineal Rectosigmoidectomy

Outcome of laparoscopic rectopexy versus perineal rectosigmoidectomy for full-thickness rectal prolapse in elderly patients

2011 ◽  
Vol 25 (8) ◽  
pp. 2699-2702 ◽  
Author(s):  
Seung-Hyun Lee ◽  
Paryush Lakhtaria ◽  
Jorge Canedo ◽  
Yoon-Suk Lee ◽  
Steven D. Wexner
Keyword(s):  
Elderly Patients ◽  
Rectal Prolapse ◽  
Full Thickness ◽  
Perineal Rectosigmoidectomy ◽  
Laparoscopic Rectopexy

scholarly journals Surgical treatment of rectal prolapse: experience and late results with 51 patients

2004 ◽  
Vol 59 (4) ◽  
pp. 168-171 ◽  
Author(s):  
Carlos Walter Sobrado ◽  
Desidério Roberto Kiss ◽  
Sérgio C. Nahas ◽  
Sérgio E. A. Araújo ◽  
Victor E. Seid ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Late Results ◽  
Long Term Results ◽  
Complete Rectal Prolapse ◽  
Presacral Space ◽  
Perineal Rectosigmoidectomy ◽  
Study Results ◽  
Low Incidence

The "best" surgical technique for the management of complete rectal prolapse remains unknown. Due to its low incidence, it is very difficult to achieve a representative number of cases, and there are no large prospective randomized trials to attest to the superiority of one operation over another. PURPOSE: Analyze the results of surgical treatment of complete rectal prolapse during 1980 and 2002. METHOD: Retrospective study. RESULTS: Fifty-one patients underwent surgical treatment during this period. The mean age was 56.7 years, with 39 females. Besides the prolapse itself, 33 patients complained of mucous discharge, 31 of fecal incontinence, 14 of constipation, 17 of rectal bleeding, and 3 of urinary incontinence. Abdominal operations were performed in 36 (71%) cases. Presacral rectopexy was the most common abdominal procedure (29 cases) followed by presacral rectopexy associated with sigmoidectomy (5 cases). The most common perineal procedure was perineal rectosigmoidectomy associated with levatorplasty (12 cases). Intraoperative bleeding from the presacral space developed in 2 cases, and a rectovaginal fistula occurred in another patient after a perineal rectosigmoidectomy. There were 2 recurrences after a mean follow-up of 49 months, which were treated by reoperation. CONCLUSION: Abdominal and perineal procedures can be used to manage complete rectal prolapse with safety and good long-term results. Age, associated medical conditions, and symptoms of fecal incontinence or constipation are the main features that one should bear in mind in order to choose the best surgical approach.

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