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OUTCOMES OF ALTEMEIER’S PROCEDURE IN TREATMENT OF RECTAL PROLAPSE
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Abstract
Background: Complete rectal prolapses can be treated by Altemeier’s procedure. Objectives: To evaluate the outcomes of Altemeier’s procedure for complete rectal prolapse. Materials and methods: A retrospective study was done in 56 patients with complete rectal prolapse treated by Altemeier’s procedure from 08/2010 to 02/2017, at University Medical Center. Results: Most of patients in study was female 62.0%, male 37.5%. The youngest patient was 12 and the oldest patients was 90, average age was 63.9. Operation: Operating time of hand sewn is 98.7 minutes and stapler is 70 minutes, male is 108.5 and 85.5 in female. Complications: There are 2 anastomotic leakages in 6th day of postoperative period. There was no bleeding, bladder, intestinal, vaginal injury. Average postoperative time 6.5 days (6.8 in hand-sewn and 5,5 in stapler). 48 patients were completely followed up postopertively. Average follow-up times was 34.2 months. There were 3 recurrences, one patient underwent Altemeier’s procedure again with good result. There was no mortality or morbidity was recorded. Conclusions: Altemeier’s procedure is good in suitable patients with complete rectal prolapse. Advantage is the mild operation with the good results.
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Keywords
Altemeier’s procedure, rectal prolapse
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