Application of Altemeier procedure in the emergent management of acute incarcerated rectal prolapse.
- Author:
Zhi-gui ZUO
1
;
Hua-Yu SONG
;
Chang XU
;
Ji LI
;
Shi-chang NI
;
Zhen-hua ZHOU
;
Shao-qi CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Colectomy; methods; Emergency Treatment; Female; Humans; Male; Middle Aged; Rectal Prolapse; surgery; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2010;13(6):427-429
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the perineal rectosigmoidectomy(Altemeier procedure) in the emergent management of acute incarcerated rectal prolapse.
METHODSClinical and follow-up data of 9 patients with acute incarcerated rectal prolapse undergone Altemeier procedure were retrospectively analyzed.
RESULTSThe mean operation time was 1.7 (range 1.0-1.5) hours. The mean total blood loss during surgery was 109 (50-200) ml. The mean time to the first bowel movements was 2.8(1-6) days after surgery. The hospital stay was 5.3(3-10) days. There were no postoperative complications such as anastomotic leakage, intra-abdominal infection, or urogenital dysfunction. One patient developed thrombosis in the mesorectum and one patient had symptoms of anal discomfort. After a mean follow-up of 3.5(5 months-6.5 years) years, no patient had recurrent prolapse. Six months after operation, anal function was Kirwan grade I( in 8 cases and grade II( in 1 case. All the patients were satisfied with the result.
CONCLUSIONAltemeier procedure can result in good postoperative anal function when treating incarcerated rectal prolapse, which should be the first choice in emergency treatment.
