Perineal rectosigmoidectomy for incarcerated rectal prolapse (Altemeier’s procedure)
Mesut Sipahi, Ergin Arslan, Hasan Börekçi, Faruk Önder Aytekin, Bahadır Külah, Oktay Banlı
Department of General Surgery, Bozok University School of Medicine, Yozgat, Turkey
Perineal procedures have higher recurrence and lower mortality rates than abdominal alternatives for the treatment of rectal prolapse. Presence of incarceration and strangulation also influences treatment choice. Perineal rectosigmoidectomy is one of the treatment options in patients with incarceration and strangulation, with low mortality and acceptable recurrence rates. This operation can be performed especially to avoid general anesthesia in old patients with co-morbidities. We aimed to present perineal rectosigmoidectomy and diverting loop colostomy in a patient with neurological disability due to spinal trauma and incarcerated rectal prolapse.
Keywords: Altemeier’s procedure, perineal rectosigmoidectomy, rectal prolapse
Written informed consent was obtained from patient who participated in this case.
Concept - M.S., F.Ö.A., O.B.; Design - B.K., E.A.; Supervision - F.Ö.A., O.B.; Funding - H.B., E.A., F.Ö.A.; Materials - H.B., B.K.; Data Collection and/or Processing - M.S., E.A.; Analysis and/or Interpretation - M.S., O.B.; Literature Review - M.S.; Writer - M.S., O.B.; Critical Review - F.Ö.A., B.K., H.B.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.