会阴直肠乙状结肠切除术（阿尔特迈尔手术）治疗绞窄性直肠脱垂：病例系列及文献综述
Perineal Rectosigmoidectomy (Altemeier's Procedure) in the Treatment of Strangulated Rectal Prolapse: A Case Series and Literature Review.
作者信息
Mantzoros Ioannis, Brenta Aliki, Bourtzinakou Aikaterini-Antonia, Kontaxi Ourania, Gemousakakis Georgios, Antoniou Nikolaos, Bitsianis Stefanos, Kotidis Efstathios, Kyziridis Dimitrios, Ioannidis Orestis, Kerasidou Ourania, Gkiouliava Anna, Pramateftakis Manousos, Aggelopoulos Stamatios
机构信息
4th Department of Surgery, General Hospital of Thessaloniki "G. Papanikolaou", School of Medicine, Faculty of Health Science, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.
2nd Department of Surgery, General Hospital of Thessaloniki "G. Gennimatas", School of Medicine, Faculty of Health Science, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.
出版信息
J Pers Med. 2024 Nov 6;14(11):1095. doi: 10.3390/jpm14111095.
BACKGROUND
Rectal prolapse (RP) predominantly affects women over the age of 50 and presents as mucosal, internal, or full thickness prolapse. Strangulated rectal prolapse requires immediate medical intervention, and surgical treatment options include both abdominal and perineal approaches. We aim to present a case series of perineal rectosigmoidectomy performed urgently due to strangulation and argue that Altemeier's procedure is the preferred method for treating strangulated rectal prolapse.
METHODS
Perineal rectosigmoidectomy, particularly Altemeier's procedure, is effective for incarcerated cases. Altemeier's procedure with diverting ileostomy was used in all three patients.
RESULTS
All patients were successfully treated, with no recurrence of prolapse and stool incontinence.
CONCLUSIONS
Altemeier's procedure is ideal for the treatment of strangulated rectal prolapse.
背景
直肠脱垂（RP）主要影响50岁以上的女性，表现为黏膜脱垂、内脱垂或全层脱垂。绞窄性直肠脱垂需要立即进行医学干预，手术治疗方案包括腹部和会阴入路。我们旨在呈现一系列因绞窄而紧急施行会阴直肠乙状结肠切除术的病例，并认为阿尔特迈尔手术是治疗绞窄性直肠脱垂的首选方法。
方法
会阴直肠乙状结肠切除术，尤其是阿尔特迈尔手术，对嵌顿病例有效。所有三名患者均采用带转流性回肠造口术的阿尔特迈尔手术。
结果
所有患者均成功治愈，脱垂和大便失禁均未复发。
结论
阿尔特迈尔手术是治疗绞窄性直肠脱垂的理想方法。
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