Application of Altemeier procedure in the emergent management of acute incarcerated rectal prolapse / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 427-429, 2010.
Artículo
en Chino
| WPRIM
| ID: wpr-266330
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the perineal rectosigmoidectomy(Altemeier procedure) in the emergent management of acute incarcerated rectal prolapse.</p><p><b>METHODS</b>Clinical and follow-up data of 9 patients with acute incarcerated rectal prolapse undergone Altemeier procedure were retrospectively analyzed.</p><p><b>RESULTS</b>The 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.</p><p><b>CONCLUSION</b>Altemeier procedure can result in good postoperative anal function when treating incarcerated rectal prolapse, which should be the first choice in emergency treatment.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cirugía General
/
Estudios Retrospectivos
/
Prolapso Rectal
/
Resultado del Tratamiento
/
Colectomía
/
Tratamiento de Urgencia
/
Métodos
Tipo de estudio:
Estudio observacional
Límite:
Adulto
/
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Gastrointestinal Surgery
Año:
2010
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS