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In this video, we demonstrate the Altemeier's Procedure (perineal rectosigmoidectomy) in an 85-year-old woman with long-standing faecal incontinence secondary to a full thickness rectal prolapse. This was carried out under general anaesthesia with the patient placed in lithotomy. Exposure was facilitated using a Long Star retractor (CooperSurgical Inc., Trumbull, Connecticut, USA). The prolapsed rectum was fully everted and a circumferential electrocautery incision was made approximately 1-2 cm distal to the dentate line. This article is protected by copyright. All rights reserved.
This article was published in the following journal.
Name: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
Laparoscopic ventral mesh rectopexy (LVMR) has proved effective in the treatment of internal and external rectal prolapse. The present meta-analysis aimed to determine the predictive factors of recurr...
Complete rectal prolapse (CRP) is a full-thickness protrusion of the rectum or sigmoid colon through the anal canal . The overall incidence is 0.25%-0.4% and it is 6 times more common in women ....
A Letter to the Editor on "Anterior Perineal PlanE for ultra-low Anterior Resection of the rectum (APPEAR) technique: A systematic review". The APPEAR procedure is a sphincter-saving transsphincteric rectal resection technique, and the ischioanal fossa should not be considered as "The rectal no man's land".
Today, there are several methods to repair colon and rectal injury such as primary repair, stoma, resection with anastomosis and damage control only. To our best knowledge, there is no definite method...
Rectal prolapse, rectal procidentia, "complete" prolapse or "third-degree" prolapse is the full-thickness prolapse of the rectal wall through the anal canal and has a significant impact on quality of ...
Incarceration and necrosis of rectal prolapse is rare and often requires urgent management. Perineal rectosigmoidectomy (Altemeir procedure) is a reasonable technique for this condition. T...
How to reduce the complications of perineal wound after abdominoperineal resection (APR) has always been a hot topic in the medical field.To reduce the complications of perineal wound and ...
No randomized controlled trial (RCT) has compared no rectopexy to rectopexy for external full‐thickness rectal prolapse (FTRP). This study was performed to test the hypothesis that recur...
The aim of this study is to evaluate FTRD (full-thickness resection device) in terms of obtaining full-thickness biopsies form the gastrointestinal tract endoscopically in the work-up of p...
The purpose of this prospective, multicenter study was to evaluate the safety and efficacy of endoscopic full-thickness plication for the treatment of symptomatic gastroesophageal reflux. ...
Procedure involving the instillation of an anesthetic into the rectum.
A measurement of the thickness of the carotid artery walls. It is measured by B-mode ULTRASONOGRAPHY and is used as a surrogate marker for ATHEROSCLEROSIS.
Procedure that involves the removal of infectious products from a root canal space through use of special instruments and fillings. This procedure is performed when root canal treatment fails.
A prenatal ultrasonic measurement of the thickness or translucent area below the SKIN in the back of the fetal NECK, or nape of the neck, during the first 11-14 weeks of gestation (PREGNANCY TRIMESTER, FIRST). Abnormal thickness or nuchal translucent measurements resulting from fluid collection, is associated with increased risks of CHROMOSOME ABNORMALITIES. (Nicolaides et al., 1992)
Emergency care or treatment given to a person who suddenly becomes ill or injured before full medical services become available.