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Altemeier operation associated with dynamic graciloplasty: a case report

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Author(s): Mongardini Massimo | Iachetta Roberto | Cola Alessandra | Effetti Eleonora | Custureri Filippo

Journal: Journal of Medical Case Reports
ISSN 1752-1947

Volume: 3;
Issue: 1;
Start page: 9317;
Date: 2009;
Original page

ABSTRACT
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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