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. 2009 Dec 4:3:9317.
doi: 10.1186/1752-1947-3-9317.

Altemeier operation associated with dynamic graciloplasty: a case report

Massimo Mongardini  1 , Roberto Paolo Iachetta, Alessandra Cola, Eleonora Degli Effetti, Filippo Custureri
Affiliations

Altemeier operation associated with dynamic graciloplasty: a case report

Massimo Mongardini et al. J Med Case Rep. .

Abstract

Introduction: More than 80% of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We found no published reports describing this surgical association.

Case presentation: We report the case of a 72-year-old Caucasian woman with full-thickness rectal prolapse associated with fecal incontinence from severe neuromuscular damage.

Conclusion: Combined dynamic graciloplasty and an Altemeier operation could be a valid therapeutic option in patients with severe rectal prolapse with fecal incontinence from severe neurogenic damage.

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