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Revista Mexicana de Coloproctología Enfermedades del Ano, Recto y Colon

2007, Número 2

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Rev Mex Coloproctol 2007; 13 (2)


Rectosigmoidectomía perineal y levatoroplastia para el tratamiento del prolapso rectal (procedimiento de Altemeier). A propósito de un caso

Pacheco-Pérez MA, Sánchez-Limón G, Fernández-Silva R

Idioma: Español
Referencias bibliográficas: 30
Paginas: 48-52
Archivo PDF: 122.09 Kb.


RESUMEN

El prolapso rectal principia como una invaginación del recto medio e inferior que progresa hasta presentar prolapso rectal total a través del conducto del ano. Un mesorrecto elongado y un sigmoides redundante favorecen el prolapso. La etiología precisa aún es desconocida y se han propuesto diversas técnicas abdominales que consisten en algún tipo de rectopexia con o sin resección, igualmente se han diseñado operaciones perineales que se pueden realizar bajo anestesia regional, sin emplear materiales extraños y con menor invasión. La rectosigmoidectomía perineal con levatoroplastia (procedimiento de Altemeier) es una técnica quirúrgica que se ha utilizado en pacientes con riesgo quirúrgico elevado, obteniéndose resultados alentadores. El objetivo de este trabajo es dar a conocer un caso de prolapso rectal completo y rectocele, utilizando el procedimiento de Altemeier en una paciente de 65 años de edad que presentaba múltiples condiciones médicas adversas y la cual había sido sometida previamente a cirugía para tratamiento del prolapso mencionado. Las diferentes alternativas en el manejo del prolapso rectal se discuten y se hace una revisión del tema.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Goligher JC. Surgery of the anus rectum and colon. 4th. Ed. Bailliere Tindall; London: 1980: 224-58.

  2. Nicholls JR, Banerjee A. Rectal prolapse and solitary rectal ulcer syndrome. In: Nicholls RJ, Dozois RR. Surgery of the colon and rectum. Churchill Livingstone; New York: 1997: 709-37.

  3. Metcalf AM, Loening-Baucke V. Anorectal function and defecation dynamics in patients with rectal prolapse. Am J Surg 1988; 155: 206-10.

  4. Farouk R, Duthie GS, McGregor AB, Bartolo DCC. Rectoanal inhibition and incontinence in patients with rectal prolapse. Br J Surg 1994; 81: 743-6.

  5. Deen KI, Madoff RD. Rectal prolapse: impact on pelvic floor physiology and current management. Semin Colon Rectal Surg 1996; 7: 160-9.

  6. 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.

  7. Johansen OB, Wexner SD, Daniel N, Nogueras JJ, Jagelman DG. Perineal rectosigmoidectomy in the elderly. Dis Colon Rectum 1993; 36: 767-72.

  8. Launer DP, Fazio VW, Weakley FL, Turnhull RB Jr, Jagelman DG, Lavery IC. The Ripstein procedure: a 16-year experience. Dis Colon Rectum 1982; 25: 41-5.

  9. Madoff RD, Williams JG, Wong WD, Rothenberger DA, Goldberg SM. Long-term functional results of colon resection and rectopexy for overt rectal prolapse. Am J Gastroenterol 1992; 87: 101-4.

  10. Duthie GS, Bartolo DCC. Abdominal rectopexy for rectal prolapse: a comparison of techniques. Br J Surg 1992; 79: 107-13.

  11. Williams JG, Rothenberger DA, Madoff RD, Goldberg SM. Treatment of rectal prolapse in the elderly by perineal rectosigmoidectomy. Dis Colon Rectum 1992; 35: 830-4.

  12. Senapati A, Nicholls RJ, Thomson JPS, Phillips RKS. Results of Delorme’s procedure for rectal prolapse. Dis Colon Rectum 1994; 37: 456-60.

  13. Browning GGP, Parks AG. Postanal repair for neuropathic faecal incontinence: Correlation of clinical result and anal canal pressures. Br J Surg 1983; 70: 101-4.

  14. Altemeier WA, Culberson R, Schowengerdt C, Hunt J. Nineteen years experience with the one-stage perineal repair of rectal prolapse. Ann Surg 1971; 173: 993-1006.

  15. Watts JD, Rothenberger DA, Buls JG, Goldberg SM, Nivatvongs S. The management of procidentia: 30 years experience. Dis Colon Rectum 1985; 28: 96-102.

  16. Speakman CTM, Madden MV, Nicholls RJ, Kamm MA. Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomized study. Br J Surg 1991; 78: 1431-3.

  17. Madden MV, Kamm MA, Nicholls RJ, Santhanam AN, Cabot R, Speakman CTM. Abdominal rectopexy for complete prolapse: prospective study evaluating changes in symptoms and anorectal function. Dis Colon Rectum 1992; 35: 48-55.

  18. Gordon PH, Hoexter B. Complications of the Ripstein procedure. Dis Colon Rectum 1978; 21: 277-80.

  19. Huber FT, Stein H, Siewert JR. Functional results after treatment of rectal prolapse with rectopexy and sigmoid resection. World J Surg 1995; 19: 138-43.

  20. Yoshioka K, Hyland G, Keighley MRB. Anorectal function after abdominal rectopexy: parameters of predictive value in identifying return of continence. Br J Surg 1989; 76: 64-8.

  21. Oresland T, Fasth S, Nordgren S, Hulten L. The clinical and functional outcome after restorative proctocolectomy. A prospective study in 100 patients. Int J Colorectal Dis 1989; 4: 50-6.

  22. Meyers JO, Wong WD, Rothenberger DH, Jensen JJ, Goldberg SM. Rectal prolapse in males, implications for management. American Society of Colon and Rectal Surgeons. 89th Annual Convention Poster Presentations and Abstracts; 1990 Apr 29 May 4; St. Louis Missouri. Dis Colon Rectum 1990; 33: 28.

  23. Friedman R, Muggia-Sulam M, Freund HR. Experience with the one-stage perineal repair of rectal prolapse. Dis Colon Rectum 1983; 26: 789-91.

  24. Ramanujam PS, Venkatesh KS. Perineal excision of rectal prolapse with posterior levator and repair in elderly high-risk patients. Dis Colon Rectum 1988; 31: 704-6.

  25. Williams JG, Rothenberger DA, Madoff RD, Goldberg SM. Treatment of rectal prolapse in the elderly by perineal rectosigmoidectomy. Dis Colon Rectum 1992; 35: 830-4.

  26. Johnston D, Holdsworth PJ, Nasmyth DG, Neal DE, Primrose JN, Womack N, et al. Preservation of the entire anal canal in conservative proctocolectomy for ulcerative colitis: a pilot study comparing end-to-end ileo-anal anastomosis without mucosal resection with mucosal proctectomy and endo-anal anastomosis. Br J Surg 1987; 74: 940-4.

  27. Becker JM, LaMorte W, St Marie G, Ferzoco S. Extent of smooth muscle resection during mucosectomy and ileal pouchanal anastomosis affects anorectal physiology and functional outcome. Dis Colon Rectum 1997; 40: 653-60.

  28. Joo JS, Latulippe JF, Alabaz O, Weiss EG, Nogueras JJ, Wexner SD. Long-term functional evaluation of straight coloanal anastomosis and colonic J-pouch: is the functional superiority of colonic J-pouch sustained? Dis Colon Rectum 1988; 41: 740-6.

  29. Gopal KA, Amshel AL, Shonberg IL, Eftaiha M. Rectal procidentia in elderly and debilitated patients: experience with the Altemeier procedure. Dis Colon Rectum 1984; 27: 376-81.

  30. Finlay IG, Aitchison M. Perineal excision of the rectum for prolapse in the elderly. Br J Surg 1991; 78: 687-9.




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