Skip to main content
SpringerLink
Log in

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

  • Review Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13

Similar content being viewed by others

References

  1. Abdelhedi C, Frikha F, Bardaa S, Kchaw A, Mzali R (2014) Altemeier operation for gangrenous rectal prolapse. Afr J Surg 52(3):88. doi:10.7196/SAJS.2157

    Article  Google Scholar 

  2. Nishimoria FHH, Akihiko SITY, Ishiyama NY (2014) A simple and safe procedure to repair rectal prolapse perineally using stapling devices. Case Rep Gastroenterol 8:39–43

    Article  Google Scholar 

  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):776–777

    Article  PubMed  PubMed Central  Google Scholar 

  4. 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):105–107

    CAS  PubMed  Google Scholar 

  5. 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

  6. Bhandari RS, Lakhey PJ (2011) Altemeier rectosigmoidectomy for strangulated rectal prolapse. J Nepal Health Res Counc 9(19):189–191

    CAS  PubMed  Google Scholar 

  7. Yoon S-G (2011) Rectal prolapse: review according to the personal experience. J Korean Soc Coloproctol 27(3):107–113

    Article  PubMed  PubMed Central  Google Scholar 

  8. Mongardini M, Iachetta RP, Cola A, Effetti ED, Custureri F (2009) Altemeier operation associated with dynamic graciloplasty: a case report. J Med Case Rep 3:9317

    Article  PubMed  PubMed Central  Google Scholar 

  9. 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):993–1001

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Seth Nandlal Dhoot Hospital, A1, MIDC, Chikalthana, Aurangabad, Maharashtra, 431210, India

    Vijay Dattatraya Borgaonkar, Sushil Sharad Deshpande, Viraj Vijay Borgaonkar & Mukesh Dhondiram Rathod

Authors
  1. Vijay Dattatraya Borgaonkar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sushil Sharad Deshpande
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Viraj Vijay Borgaonkar
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mukesh Dhondiram Rathod
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Vijay Dattatraya Borgaonkar.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Borgaonkar, V.D., Deshpande, S.S., Borgaonkar, V.V. et al. Emergency Perineal Rectosigmoidectomy for Gangrenous Rectal Prolapse: a Single-Centre Experience with Review of Literature. Indian J Surg 79, 45–50 (2017). https://doi.org/10.1007/s12262-016-1562-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-016-1562-2

Keywords

Search

Navigation