Sigmoido‐rectal intussusception anastomosis in the Altemeier procedure for incarcerated rectal prolapse—A video vignette and 13 case reports

• DOI: 10.1111/codi.17277
• Publication Date: 2025-01-07T07:07:36Z
• Authors: Yuze Zhai; Benjun Wang; Congcong Liu
• Keywords: Rectal prolapse; Vignette

Rectal prolapse is a benign condition of the pelvic floor. While most individuals with may recover on their own or assistance, others develop an entrenched as result incarcerated rectal that makes it difficult for bowel to return. Incarcerated occurs rarely, in 2%–4% cases [1]. In opinion Yildirim [2], primary causes are inadequate floor function and damage anal sphincter. intestinal tube can sphincter reversal spasm, ischaemia hypoxia mucosa, well erosion necrosis. To preserve patient's life, surgery must be done quickly if manipulation unsuccessful. Currently, there many surgical procedures treatment prolapse, but few suitable prolapse. 1992, Paravasthu [3] first proved Altemeier's procedure effective treating However, was discovered fatal complications, such anastomotic leakage, occur after procedure, rate postoperative complications significantly higher than those remission from complete Numerous scholars have also confirmed less invasive, reduces risk abdominal infections best replace approach A further structural defect pathological dilatation distal rectum, according our team's synthesis idea 'intussusception' [4]. The results demonstrated considerable reduction problems, this 'trigger point' recurrence following (technical aspects detailed Video 1). Our research team applied Altemeier combined sigmoido-rectal intussusception anastomosis 13 three centres, intraoperative bleeding ranging 15 20 mL (mean 16.78 mL) operative duration 140 260 min 195.56 min). patients were operated successfully, none underwent prophylactic ileostomy during operation. two had bleeding, typical complication (Table S1), days 7 12, one requiring suturing control other receiving conservative therapy. None indications peritonitis systemic infection. believes key effectively reducing problems operation balance resection adequate while keeping at only moderate strain. On hand, because varied lengths embedded segments, incision should placed split between necrotic normal gut avoid leftover bowel. wraps around surrounding sphincter, anus-raising muscle muscle, formation scarring aseptic inflammatory reaction firmly fixes mucosa muscularis propria. preventing utilized address issue rectum reduce difficulties [5]. There no any 21-month (13-36month) follow-up period. rarity has led lack clinical experience its treatment, knowledge present clincal study contains largest sample date. review literature suggest great value rare emergency procedure. decreasing incidence recurrences substantiated by future prospective multicentre investigations large samples. BW: Conceptualization, Writing – original draft. YZ: Investigation, & editing. Methodology, CC: Project administration, All authors read approved final manuscript. We express gratitude all participants valuable contributions participation study. addition, we need give special thanks founder - Prof. providing new dawn This approval consent participate. Ethics Committee Affiliated Hospital Shandong University Traditional Chinese Medicine. author(s) declare financial support received research, authorship, and/or publication article. (a) Medicine Science Technology Development Program (Project No. M-2023305); (b) "Young Famous Practitioners" Cultivation year 2023; (c) Qilu Advantageous Specialty Cluster YWC2022ZKJQ0003).. conducted absence commercial relationships could construed potential conflict interest. Written informed obtained individual(s) potentially identifiable images data included presented article/Supplementary Material, inquiries directed corresponding author. Table S1. Please note: publisher not responsible content functionality supporting information supplied authors. Any queries (other missing content) author