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Indian Journal of Surgery
Published in: Indian Journal of Surgery 1/2017

01-02-2017 | Review Article

Emergency Perineal Rectosigmoidectomy for Gangrenous Rectal Prolapse: a Single-Centre Experience with Review of Literature

Authors: Vijay Dattatraya Borgaonkar, Sushil Sharad Deshpande, Viraj Vijay Borgaonkar, Mukesh Dhondiram Rathod

Published in: Indian Journal of Surgery | Issue 1/2017

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Abstract

Recurrent and chronic rectal prolapse might lead to irreducibility and ultimately gangrene of the rectum if neglected. Gangrenous rectal prolapse is a surgical emergency and needs urgent surgical management. In view of irreducibility and gangrenous bowel, it is not advisable to attempt manual reduction of rectal prolapse. The only safe option that remains is perineal rectosigmoidectomy (Altemeier’s operation). Here, we present our experience of five such cases operated in our institute from 2000 to 2015 with available literature review.
Literature
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2.
Nishimoria FHH, Akihiko SITY, Ishiyama NY (2014) A simple and safe procedure to repair rectal prolapse perineally using stapling devices. Case Rep Gastroenterol 8:39–43CrossRef
3.
Di Lena M, Angarano E, Giannini I, Guglielmi A, Donato FA (2013) Strangulated ileal trans-coloanal-anastomotic hernia: a complication of Altemeier’s procedure previously never reported. World J Gastroenterol 19(5):776–777CrossRefPubMedPubMedCentral
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Seenivasagam T, Gerald H, Ghassan N, Vivek T, Bedi AS, Suneet S (2011) Irreducible rectal prolapse: emergency surgical management of eight cases and a review of the literature. Med J Malaysia 66(2):105–107PubMed
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Altomare DF, Binda G, Ganio E, De Nardi P, Giamundo P, Pescatori M, Rectal Prolapse Study Group (2009) Long-term outcome of Altemeier’s procedure for rectal prolapse. Dis Colon rectum 52:698Y703
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Bhandari RS, Lakhey PJ (2011) Altemeier rectosigmoidectomy for strangulated rectal prolapse. J Nepal Health Res Counc 9(19):189–191PubMed
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Mongardini M, Iachetta RP, Cola A, Effetti ED, Custureri F (2009) Altemeier operation associated with dynamic graciloplasty: a case report. J Med Case Rep 3:9317CrossRefPubMedPubMedCentral
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Altemeire WA, Culbertson WR, Schowengerdt C, Hunt J (1971) Nineteen years’ experience with the one-stage perineal repair of rectal prolapse. Ann Surg 173(6):993–1001CrossRef
Metadata
Title
Emergency Perineal Rectosigmoidectomy for Gangrenous Rectal Prolapse: a Single-Centre Experience with Review of Literature
Authors
Vijay Dattatraya Borgaonkar
Sushil Sharad Deshpande
Viraj Vijay Borgaonkar
Mukesh Dhondiram Rathod
Publication date
01-02-2017
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue 1/2017
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-016-1562-2

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