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Revista Mexicana de Coloproctología Enfermedades del Ano, Recto y Colon

2007, Number 2

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Rev Mex Coloproctol 2007; 13 (2)

Perineal rectosigmoidectomy and levathoroplasty in the treatment of rectal prolapse

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

Language: Spanish
References: 30
Page: 48-52
PDF size: 122.09 Kb.


ABSTRACT

Rectal prolapse begins as an invagination of the medial and inferior rectum that progress until it presents total rectal prolapse thru of anus conduct. A prolapse is caused by an extended mesorectum and a redundant sigmoid colon. The precise etiology it is still unknown and there have been proposed several abdominal techniques that consists in some kind of rectopexia with or without a resection, there are also perineal surgeries that can be done under regional anesthetics, without using odd materials and with less invasion. Rectosigmoidectomy with levatoroplasty (Altemeier’s technique) it’s a surgical technique that has been used in patients with high surgical risk obtaining hopeful results. The objective of this study is to publish a case of a complete rectal prolapse and rectocele using the Altemeier’s proceedings in a 65 year old patient that presented multiple medical adversities and that has gone under a previous surgery to treat the prolapse mentioned. Different alternatives of treatment for rectal prolapse will be discussed and reviewed.


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