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Abstract
Rectal prolapse is a condition in which the entire rectal wall layers protrude through the anal canal. This condition rarely occurs, and the management is still a challenge for both clinician and patient. Rectal prolapse management can be done transabdominally or transperineally. Full-thickness rectal prolapse in principle should have more attention to the rectum function and anal sphincter to prevent recurrence and erectile dysfunction. The Altemeier transperineal recto-sigmoid resection has become the most common for surgical management of rectal prolapse.We report four cases of rectal prolapse, two males and two females with chief complaints had lumps out from their anus. All patients displayed comorbidities. We performed the handsewn Altemeier procedure. All surgeries resulted in minimal intraoperative bleeding. Patients experienced neither incontinence, postoperative fistula, bleeding nor infection. One month after surgery, no patients experienced a recurrence of their complaints.Handsewn Perineal rectosigmoidectomy for the treatment of complete full-thickness rectal prolapse in patients who are having comorbidity can be considered to be an alternative treatment because the procedure is relatively more accessible, safe, and has fewer complications.
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References
- Shin EJ. Surgical treatment of rectal prolapse. J Korean Soc Coloproctol. 2011;27(1):5–12.
- Ortega AE, Cologne KG, Lee SW. Management of rectal prolapse –the state of the art. JSM Gen Surg Cases Images. 2017;2(1):1018.
- Hayden DM, Wexner SD. Rectal prolapse: current evaluation, management, and treatment of a historically recurring disorder. Complexities in Colorectal Surgery. 2014;173.
- Lee JL, Yang SS, Park IJ, Yu CS, Kim JC. Comparison of abdominal and perineal procedures for complete rectal prolapse: an analysis of 104 patients. Annals of Surgical Treatment and Research. 2014;86(5):249–55.
- Mostafa RM. Rectal prolapse: diagnosis and clinical management. World Journal of Gastroenterology. 2010;16(17):2193–4.
- Murad-Regadas SM, Pinto RA. Treatment of rectal prolapse. Seminars in Colon and Rectal Surgery. 2016;27:33–9.
- Bordeianou L, Pauette I, Johnson E, Holubar SD, Gaertner W, Feingold DL. Clinical practice guidelines for the treatment of rectal prolapse. Diseases of the Colon & Rectum. 2017;60:1121–31.
- Yoon SG. Rectal prolapse: review according to the personal experience. Journal of the Korean Society of Coloproctology. 2011;27(3):107–13.
- Kim M, Reibetanz J, Schlegel N, Krajinovic K, Köstler H, Germer CT, et al. Recurrence after perineal rectosigmoidectomy: when and why? Colorectal Disease. 2014;16(11):920–4.
- Ramage L, Mclean P, Simillis C, Qiu S, Kontovounisios C, Tan E, et al. Functional outcomes with handsewn versus stapled anastomoses in the treatment of ultralow rectal cancer. Updates in surgery. 2018;70(1):15–21.
- Melton GB, Kwaan MR. Rectal Prolapse. Surgical Clinics of North America. 2013;93:187–98.
- Holmes L, Bordeianou L. Perineal approaches to the treatment of rectal prolapse. Seminars in Colon and Rectal Surgery. 2011;22:50–5.
References
Shin EJ. Surgical treatment of rectal prolapse. J Korean Soc Coloproctol. 2011;27(1):5–12.
Ortega AE, Cologne KG, Lee SW. Management of rectal prolapse –the state of the art. JSM Gen Surg Cases Images. 2017;2(1):1018.
Hayden DM, Wexner SD. Rectal prolapse: current evaluation, management, and treatment of a historically recurring disorder. Complexities in Colorectal Surgery. 2014;173.
Lee JL, Yang SS, Park IJ, Yu CS, Kim JC. Comparison of abdominal and perineal procedures for complete rectal prolapse: an analysis of 104 patients. Annals of Surgical Treatment and Research. 2014;86(5):249–55.
Mostafa RM. Rectal prolapse: diagnosis and clinical management. World Journal of Gastroenterology. 2010;16(17):2193–4.
Murad-Regadas SM, Pinto RA. Treatment of rectal prolapse. Seminars in Colon and Rectal Surgery. 2016;27:33–9.
Bordeianou L, Pauette I, Johnson E, Holubar SD, Gaertner W, Feingold DL. Clinical practice guidelines for the treatment of rectal prolapse. Diseases of the Colon & Rectum. 2017;60:1121–31.
Yoon SG. Rectal prolapse: review according to the personal experience. Journal of the Korean Society of Coloproctology. 2011;27(3):107–13.
Kim M, Reibetanz J, Schlegel N, Krajinovic K, Köstler H, Germer CT, et al. Recurrence after perineal rectosigmoidectomy: when and why? Colorectal Disease. 2014;16(11):920–4.
Ramage L, Mclean P, Simillis C, Qiu S, Kontovounisios C, Tan E, et al. Functional outcomes with handsewn versus stapled anastomoses in the treatment of ultralow rectal cancer. Updates in surgery. 2018;70(1):15–21.
Melton GB, Kwaan MR. Rectal Prolapse. Surgical Clinics of North America. 2013;93:187–98.
Holmes L, Bordeianou L. Perineal approaches to the treatment of rectal prolapse. Seminars in Colon and Rectal Surgery. 2011;22:50–5.