The Operative Repair of Massive Rectal Prolapse

Graham, Roscoe R.

doi:10.1097/00000658-194206000-00013

Cited by 96 publications

(20 citation statements)

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“…One of the differences of the Miles procedure was the ability to remove an excess of colon via the perineum so that obliteration of the peritoneal cul-de-sac could be conducted at a higher level than the base of the hernia. This perineal operation was supplemented by others (as well as by Miles himself), with a transperineal levatorplasty, which could be performed more easily than via the abdominal route [10].…”

Section: Historical Development Of Altemeier's Proceduresmentioning

confidence: 99%

Perineal rectosigmoidectomy (Altemeier's procedure): a review of physiology, technique and outcome

Zbar

Takashima

Hasegawa

et al. 2002

Techniques in Coloproctology

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Perineal rectosigmoidectomy (Altemeier's procedure), as used for the surgical treatment of full-thickness rectal prolapse, has a long history. The physiological derangement in patients with rectal prolapse is complex, frequently showing impairment of the rectoanal inhibitory reflex, intermittent high-pressure rectal motor activity, disturbances in anorectal sampling and attendant pudendal neuropathy. There are currently few defined preoperative factors in patients presenting with rectal prolapse and fecal leakage which predict for the restoration of continence after surgery. This review describes our technique of Altemeier's procedure and analyzes the reported results of this operation, presenting those studies which assessed postoperative continence and prolapse recurrence in particular. The lack of prospective randomized data regarding this perineal approach makes clinical interpretation difficult at the present time.

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Section: Historical Development Of Altemeier's Proceduresmentioning

confidence: 99%

Perineal rectosigmoidectomy (Altemeier's procedure): a review of physiology, technique and outcome

Zbar

Takashima

Hasegawa

et al. 2002

Techniques in Coloproctology

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“…Attempts to improve these results by incorporating suture of the puborectales muscles in the operative technique have not been successful (Porter, i962b). Because of these experiences most surgeons with a special interest in rectal work in this country have abandoned it in favour of various forms of repair, fixation or resection by the abdominal or abdomino-perineal route, but it is still widely used by the generality of surgeons because of its relative safety even in elderly patients, and is specially popular in America where it is associated with the name of Altemeier (Altemeier, Giuseppi and Hoxworth, 1952 Graham (1942) described a technique of repair in which the pelvis is exposed through a lower abdominal incision, the pelvic peritoneum opened between the rectum and uterus and the puborectales muscles approximated by suture between the rectum and vagina. The pouch of Douglas is then excised or obliterated and the abdomen closed.…”

Section: Treatment Of Complete Prolapsementioning

confidence: 99%

Prolapse of the Rectum

Goligher

1964

Postgraduate Medical Journal

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“…Roscoe Graham (1942) also called attention to the Moschowitz conception of the pathology and treatment of complete prolapse of the rectum, and, like him, advocated an abdominal repair, but one which was more complete. The levator ani muscle was exposed and the two halves were joined together anterior to the rectum with interrupted sutures; the pelvic fascia was sutured and the pelvic peritoneal pouch obliterated in the way suggested by Moschowitz.…”

Section: Discussionmentioning

confidence: 99%