Abdominal resection rectopexy with pelvic floor repairversus perineal rectosigmoidectomy and pelvic floor repair for full-thickness rectal prolapse

1994 ◽  
Vol 81 (2) ◽  
pp. 302-304 ◽  
Author(s):  
K. I. Deen ◽  
E. Grant ◽  
C. Billingham ◽  
M. R. B. Keighley
Keyword(s):  
Rectal Prolapse ◽  
Pelvic Floor ◽  
Full Thickness ◽  
Resection Rectopexy ◽  
Pelvic Floor Repair ◽  
Perineal Rectosigmoidectomy ◽  
Abdominal Resection

scholarly journals Rectosigmoid carcinoma presenting as full-thickness rectal prolapse

2019 ◽  
Vol 12 (12) ◽  
pp. e230409
Author(s):  
Daniel Montwedi
Keyword(s):  
Rectal Prolapse ◽  
Pelvic Floor ◽  
Microsatellite Instability ◽  
Colonic Obstruction ◽  
Full Thickness ◽  
Rectosigmoid Junction ◽  
Colorectal Tumour ◽  
Recent Onset ◽  
Rectal Tumour

A 34-year-old man with recent-onset constipation presented with colonic obstruction due to a palpable rectal tumour. Colostomy relieved the obstruction and biopsy revealed carcinoma. During workup, full-thickness rectal prolapse occurred with the tumour at the apex of an intussusception. Imaging revealed a low rectal tumour and no metastases. An abdominal oncological rather than perineal resection of the rectum was planned. At laparotomy, the tumour was reduced and was seen to originate at the rectosigmoid junction. Surgery was successful and follow-up has been clear. Histology revealed an adenocarcinoma with microsatellite instability. Rectal prolapse due to tumour intussusception is very rare. In this young man, it was due to straining at stool because of constipation and tenesmus rather than pelvic floor abnormality. An associated colorectal tumour should be considered in patients with rectal prolapse. In such cases, surgical and adjuvant management may need to be modified.

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

Rectal Prolapse: Abdominal Procedures

2019 ◽  
Author(s):  
Steven D. Wexner ◽  
Susan M. Cera ◽  
Victoria Valinluck Lao
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Key Words ◽  
Sigmoid Colon ◽  
Rectal Wall ◽  
Full Thickness ◽  
Resection Rectopexy ◽  
Benign Condition ◽  
Operative Evaluation

Rectal prolapse is the full thickness intussusception of the rectal wall with protrusion out of the anus.  It is a benign condition associated with multiple anatomic abnormalities such as a redundant sigmoid colon, attenuation of sacral attachments, diastasis of the levators, a patulous anus, and a deep cul-de-sac.  It often presents with concomitant symptoms of fecal incontinence and constipation, or both.  In this review, we will discuss widely accepted abdominal procedures for the repair of rectal prolapse as well as advances in the arena.  Pre-operative evaluation, management and planning as well as perineal procedures are discussed in a separate review. This review contains 9 figures, 1 table, and 44 references.  Key Words:  Rectal prolapse, abdominal procedures, resection, rectopexy, mesh, laparoscopic, robotic

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.

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

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

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
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