Perineal Approach in Rectal Prolapse: Case Report
Öz
Rectal prolapse is a condition where the full thickness rectal wall or mucosa of the rectum protrudes from the anus. The surgical treatment of rectal prolapse is performed either abdominally or perineally . The perineal procedures are prefered with old patients with the high risk for surgery, and rectosigmoidectomy named as Altemeier procedure is the most preffered procedure. Here in we present a 79 years-old female patient, admitted to our clinic with the history of 24 hours incarcerated rectal prolapse and 2 cm sized polip. Altemeier procedure was performed under regional anesthesia, the patient was discharged on the 4th postoperative day without any complications. Altemeier procedure can be safely administered in indicated elderly patients by experienced surgeon with low morbidity and mortality rates.
Anahtar Kelimeler
Kaynakça
- Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE. Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies. J Gastrointest Surg. 2014;18:1059-69.
- Melton GB, Kwaan MR. Rectal prolapse. Surg Clin North Am. 2013;93:187-98.
- Moschcowitz AV. The pathogenesis, anatomy and cure of prolapse of rectum. Surg Gynecol Obstet. 1912;15:7-21.
- Broden B, Snellman B. Procidentia of the rectum studied with cineradiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum. 1968;11:330-47.
- Patel SM, Lembo AJ. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 8th ed. Feldman M, editor: Saunders. 2006;230.
- Kairaluoma MV, Kellokumpu IH. Epidemiologic aspects of complete rectal prolapse. Scand J Surg. 2005;94:207-10.
- Stein EA, Stein DE. Rectal procidentia: diagnosis and management. Gastrointest Endosc Clin N Am. 2006;16:189-201.
- Senapati A, Gray RG, Middleton LJ, Harding J, Hills RK, Armitage NC, et al. PROSPER: a randomised comparison of surgical treatments for rectal prolapse. Colorectal Dis. 2013;15:858-68.
- Steele SR, Goetz LH, Minami S, Madoff RD, Mellgren AF, Parker SC. Management of recurrent rectal prolapse: surgical approach influences outcome. Dis Colon Rectum. 2006;49:440-5.
- Zbar AP, Takashima S, Hasegawa T, Kitabayashi K. Perineal rectosigmoidectomy (Altemeier's procedure): a review of physiology, technique and outcome. Tech Coloproctol. 2002;6:109-16.
