Altemeier operation associated with dynamic graciloplasty: a case report

INTRODUCTION: More than 80% of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We f...

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Detalles Bibliográficos
Autores principales: Mongardini, Massimo, Iachetta, Roberto Paolo, Cola, Alessandra, Effetti, Eleonora Degli, Custureri, Filippo
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803840/
https://www.ncbi.nlm.nih.gov/pubmed/20062746
http://dx.doi.org/10.1186/1752-1947-3-9317
Descripción
Sumario:INTRODUCTION: More than 80% of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We found no published reports describing this surgical association. CASE PRESENTATION: We report the case of a 72-year-old Caucasian woman with full-thickness rectal prolapse associated with fecal incontinence from severe neuromuscular damage. CONCLUSION: Combined dynamic graciloplasty and an Altemeier operation could be a valid therapeutic option in patients with severe rectal prolapse with fecal incontinence from severe neurogenic damage.

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