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<p>Rectal prolapse is a condition that can significantly impair the patient’s quality of life. It is more common in older women due to chronic constipation and weak pelvic floor muscles. Surgical techniques for correcting rectal prolapse are abdominal or perineal procedures. Among the perineal techniques, Altemeier’s procedure, or perineal procto-sigmoidectomy, is frequently done for elderly or high-risk patients due to its minimal invasiveness and relatively lower postoperative complication rates. This case series involved 11 patients with rectal prolapse who underwent Altemeier’s procedure between June 2012 and May 2020. The patients consisted of 10 females and one male. The data collected included patient demographics, clinical presentation, medical history, and surgical outcomes. The operative treatment was perineal rectosigmoidectomy (Altemeier’s procedure). Postoperative care included pain management, mobilization, dietary modifications, and monitoring for complications. Eleven patients were included, with a mean age of 61.5 years (25–72). Ten (90.9%) were females undergoing elective procedures, while one (9.1%) male required emergency surgery for severe amebic dysentery. One (9.1%) patient had an associated obstetrical anal sphincter injury and underwent concurrent sphincter repair. The duration of illness ranged from 3 weeks to three years. Eight (72.7%) patients had an uneventful early postoperative recovery. No recurrences were observed over a minimum 3-year follow-up. Minor complications occurred in two (18.2%) patients (urine retention and minor leak), while one (9.1%) developed a pelvic hematoma. Four (36.4%) patients experienced constipation, which improved with conservative management. This case series highlighted the variable presentations and management strategies for rectal prolapse in 11 patients. Management approaches included conservative measures such as dietary changes, stool softeners, pelvic floor exercises, and perineal recto sigmoidectomy (Altimeier’s procedure). Multidisciplinary team management was essential for optimal outcomes.</p>

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A Single-Center Experience and Outcome of Altemeier’s Procedure for Rectal Prolapse: A Brief Communication

  • 期刊论文

  • 发表日期：

    2025年4月23日

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  • Abdel Latif Khalifa Elnaim,
  • Shareef Musa Shareef,
  • Marwa Altahir Alhassan Ebrahim,
  • Mariam Mustafa Rasheed Mohammed,
  • Omsalma Osman Hussein,
  • Salma Salah Hassan Mohamed Ali

摘要

Rectal prolapse is a condition that can significantly impair the patient’s quality of life. It is more common in older women due to chronic constipation and weak pelvic floor muscles. Surgical techniques for correcting rectal prolapse are abdominal or perineal procedures. Among the perineal techniques, Altemeier’s procedure, or perineal procto-sigmoidectomy, is frequently done for elderly or high-risk patients due to its minimal invasiveness and relatively lower postoperative complication rates. This case series involved 11 patients with rectal prolapse who underwent Altemeier’s procedure between June 2012 and May 2020. The patients consisted of 10 females and one male. The data collected included patient demographics, clinical presentation, medical history, and surgical outcomes. The operative treatment was perineal rectosigmoidectomy (Altemeier’s procedure). Postoperative care included pain management, mobilization, dietary modifications, and monitoring for complications. Eleven patients were included, with a mean age of 61.5 years (25–72). Ten (90.9%) were females undergoing elective procedures, while one (9.1%) male required emergency surgery for severe amebic dysentery. One (9.1%) patient had an associated obstetrical anal sphincter injury and underwent concurrent sphincter repair. The duration of illness ranged from 3 weeks to three years. Eight (72.7%) patients had an uneventful early postoperative recovery. No recurrences were observed over a minimum 3-year follow-up. Minor complications occurred in two (18.2%) patients (urine retention and minor leak), while one (9.1%) developed a pelvic hematoma. Four (36.4%) patients experienced constipation, which improved with conservative management. This case series highlighted the variable presentations and management strategies for rectal prolapse in 11 patients. Management approaches included conservative measures such as dietary changes, stool softeners, pelvic floor exercises, and perineal recto sigmoidectomy (Altimeier’s procedure). Multidisciplinary team management was essential for optimal outcomes.