Altemeier procedure for complete rectal prolapse – a video vignette

2020 ◽  
Vol 22 (11) ◽  
pp. 1807-1808
Author(s):  
G. Gallo ◽  
D. Cuccurullo ◽  
E. Stratta ◽  
A. Realis Luc ◽  
G. Clerico ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Altemeier Procedure ◽  
Video Vignette

Robotic Frykman‐Goldberg procedure for complete rectal prolapse – A video vignette

2021 ◽  
Author(s):  
Antonio Sciuto ◽  
Raffaele Emmanuele Maria Pirozzi ◽  
Alfredo Pede ◽  
Gianluca Lanni ◽  
Luca Montesarchio ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Video Vignette

Altemeier procedure for full‐thickness rectal prolapse complicated by ischaemic stricture – a video vignette

2020 ◽  
Vol 22 (7) ◽  
pp. 842-843
Author(s):  
N. E. Samalavicius ◽  
P. Kavaliauskas ◽  
D. Simcikas ◽  
A. Dulskas
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Altemeier Procedure ◽  
Video Vignette

Emergency perineal rectosigmoidectomy (Altemeier procedure) for strangulated rectal prolapse – a video vignette

2019 ◽  
Vol 21 (5) ◽  
pp. 608-609 ◽  
Author(s):  
N. Acar ◽  
G. Ballı ◽  
D. Khabbazazar ◽  
F. Cengiz ◽  
T. Acar ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Perineal Rectosigmoidectomy ◽  
Altemeier Procedure ◽  
Video Vignette

scholarly journals Outcome of Fecal Incontinence in Patients with Rectal Prolapse Undergoing the Altemeier Procedure with or without Posterior Levatorplasty

2021 ◽  
Vol 41 (01) ◽  
pp. 052-057
Author(s):  
Alimohammad Bananzadeh ◽  
Hamed Shariat Razavi ◽  
Shahin Khodaei ◽  
Maytham Hameed Al-Qanbar ◽  
Seyed Mohammad Kazem Tadayon ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Rectal Surgery ◽  
Complete Rectal Prolapse ◽  
Exclusion Criteria ◽  
The Social ◽  
Significant Difference ◽  
History Of ◽  
Altemeier Procedure ◽  
Baseline Values

Abstract Objective To compare the fecal incontinence status of patients submitted to theAltemeier procedure with or without posterior levatorplasty. Materials and Methods Medical records of the patients who underwent the Altemeier procedure at Shahid Faghihi Hospital (in Shiraz, Iran) from 2014 to 2018 were retrospectively studied. Patients older than 17 years of age who underwent the Altemeier procedure due to complete rectal prolapse were considered. In some cases, the operation was performed with posterior levatorplasty. Rectal prolapse due to collagen or connective tissue disorders, anal/sacral anomalies, immunodeficiency, history of rectal surgery, and pelvic radiotherapy were the exclusion criteria of the present study. In addition to the demographics (including age, gender, and body mass index), the fecal incontinence status of each case was determined through the Wexner scale preoperatively and 12 months after the surgery. The incontinence scores were then compared against the baseline values of the two groups of patients: those with and those without posterior levatorplasty. The statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS, IBM Corp., Armonk, NY, US), software, version 21. Results In total, 53 patients (17 men and 36 women) with a mean age of 55.23 ± 18.24 years were analyzed. The comparison of the pre- and postoperative scores on the Wexner scale between the two groups revealed no statistically significant difference (p >0.05). Conclusion Posterior levatorplasty during the Altemeier procedure did not result in significant improvement of the fecal incontinence outcome of the patients.

A Delorme operation for full-thickness complete rectal prolapse - a video vignette

2018 ◽  
Vol 20 (12) ◽  
pp. 1156-1156
Author(s):  
W. Omar ◽  
H. Elfeki ◽  
M. A. Abdel-Razik ◽  
M. Shalaby
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Full Thickness ◽  
Video Vignette

Toward a selection of the most appropriate procedure in the treatment of complete rectal prolapse

1988 ◽  
Vol 31 (5) ◽  
pp. 355-357 ◽  
Author(s):  
J. H.C. Kuijpers ◽  
H. de Morree
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Selection Of

Reduction of Complete Rectal Prolapse

1992 ◽  
Vol 22 (4) ◽  
pp. 180-180
Author(s):  
D S Bhandarkar ◽  
R G Tamhane
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse

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.

scholarly journals Preserving the superior rectal artery in laparoscopic anterior resection for complete rectal prolapse

2002 ◽  
Vol 49 (2) ◽  
pp. 25-26 ◽  
Author(s):  
D. Ignjatovic ◽  
R. Bergamaschi
Keyword(s):  
Rectal Prolapse ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Current Practice ◽  
Sigmoid Resection ◽  
Complete Rectal Prolapse ◽  
Complication Rates ◽  
Superior Rectal Artery ◽  
Laparoscopic Anterior Resection

Anterior resection for the treatment of full thickness rectal prolapse has been around for over four decades. 1 However, its use has been limited due to fear of anastomotic leakage and related morbidity. It has been shown that high anterior resection is preferable to its low counterpart as the latter increases complication rates. 2 Although sparing the inferior mesenteric artery in sigmoid resection for diverticular disease has been shown to decrease leak rates in a randomized setting, 3 vascular division is current practice. We shall callenged this current practice of dividing the mesorectum in anterior resection for complete rectal prolapse developing a technique that allows the preservation of the superior rectal artery.

Sign in / Sign up

Export Citation Format

Share Document