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NCT03643393 Clinical Trial

Report 2 Cases of Massive Incarceration Necrosis Rectal Prolapse Are Successfully Treated With Altemeier's Procedure

Rectal Prolapse Clinical Trial

Official title:
Report 2 Cases of Massive Incarceration Necrosis Rectal Prolapse Are Successfully Treated With Altemeier's Procedure

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT03643393
Other study ID # HMTT-VD-2018
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date May 1, 2015
Est. completion date June 30, 2018

Study information
Verified date August 2018
Source Viet Duc University Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Incarceration and necrosis of rectal prolapse is rare and often requires urgent management. Perineal rectosigmoidectomy (Altemeir procedure) is a reasonable technique for this condition. The need for a diverting stoma depends on the patient's condition and the experience and judgement of the surgeon. A literature review was performed to determine optimal management of incarcerated and necrotic rectal prolapse, and to determine the indication for fecal diversion.

Recruitment information / eligibility
Status Completed
Enrollment 2
Est. completion date June 30, 2018
Est. primary completion date June 30, 2018
Accepts healthy volunteers No
Gender Male
Age group 52 Years to 69 Years
Eligibility Inclusion Criteria:

- 2 cases incarceration rectalprolapse

Exclusion Criteria:

Study Design

Related Conditions & MeSH terms

Intervention

Procedure:
• perineal rectosigmoidectomy
In an Altemeier perineal rectosigmoidectomy, a full-thickness circumferential incision is made in the prolapsed rectum about 1-2 cm from the dentate line (see the image below). The hernia sac is entered, and the prolapse is delivered. The mesentery of the prolapsed bowel is serially ligated until no further redundant bowel can be pulled down. The bowel is transected and either hand-sewn to the distal anal canal or stapled with a circular stapler. Before anastomosis, some surgeons plicate the levator ani muscles anteriorly, which may help improve continence.

Locations
Country Name City State
n/a

Sponsors (1)
Lead Sponsor Collaborator
Viet Duc University Hospital

Outcome
Type Measure Description Time frame Safety issue
Primary recurrent rectal prolapse patients were asked for symptoms such as: pain during bowel movements, mucus or blood discharge from the protruding tissue, a loss of urge to defecate, awareness of something protruding upon wiping 3 months after surgery
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