Strangled rectal prolapse in young adults: A case report

Altemeier procedure for strangulated rectal prolapse: A case report

“…The choice of initial treatment is determined by factors such as assessment, age, co-morbidities, stage, and workup of prolapse. In situations necessitating emergency surgery due to strangulation and gangrene, rectosigmoid resection using a perineal approach or the Altemeier procedure is the proposed approach [ 9 ]. This procedure is relatively safe and effective, with low postoperative morbidity [ 10 ].…”

A modified perineal approach for the management of strangulated rectal prolapse: A case report

“…Recurrence and complication rates for perineal and transabdominal approaches have been studied extensively in cases of non-strangulated prolapse. When compared to a transabdominal approach, rectal prolapse was managed successfully with the Altemeier procedure despite higher rates of recurrence [ 2 , 6 , [8] , [9] , [10] , [11] ]. Because perineal procedures are generally chosen in cases of strangulation, comparisons have been made between Altemeier and Delorme on the topic of recurrence after strangulation as well [ 12 , 13 ].…”

“…Because perineal procedures are generally chosen in cases of strangulation, comparisons have been made between Altemeier and Delorme on the topic of recurrence after strangulation as well [ 12 , 13 ]. Based on experience, some surgeons recommend avoidance of the Delorme procedure, especially in instances of necrosis and edema [ 3 , 4 , 7 , 9 ]. The Altemeier is usually favored in cases of strangulation because observed recurrence rates were lower than for Delorme [ 12 ].…”

Two Rings, Two Recoveries: Exploring the Thiersch Method in Complicated Cases

“…Mucus discharge may accompany the protrusion. Patients also present with various functional complaints, from fecal incontinence (especially post-defecation) and diarrhea to constipation and outlet obstruction [ 3 ]. Physical examination with proctoscopy is a must and is essential to diagnose rectal prolapse and differentiate it from other prolapsing masses, such as cystocele, enterocele, or vaginal vault prolapse (seen in women).…”