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

Sponsor
Viet Duc University Hospital (Other)
Overall Status
Completed
CT.gov ID
NCT03643393
Collaborator
(none)
2
Enrollment
1
Arm
38
Actual Duration (Months)

Study Details

Study Description

Brief 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.

Condition or Disease Intervention/Treatment Phase
  • Procedure: perineal rectosigmoidectomy
 N/A

Study Design

Study Type:
Interventional
Actual Enrollment :
2 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Report 2 Cases of Massive Incarceration Necrosis Rectal Prolapse Are Successfully Treated With Altemeier's Procedure
Actual Study Start Date :
May 1, 2015
Actual Primary Completion Date :
Jun 30, 2018
Actual Study Completion Date :
Jun 30, 2018

Arms and Interventions

Arm Intervention/Treatment
Other: incarceration rectal prolapse

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.
Other Names:
  • Altemeier's procedure

    		•

    Outcome Measures

    Primary Outcome Measures

    1. recurrent rectal prolapse [3 months after surgery]

      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

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    52 Years to 69 Years
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • 2 cases incarceration rectalprolapse
    Exclusion Criteria:
    • N/A

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Viet Duc University Hospital

    Investigators

    • Study Chair: xuan hung nguyen, DR, center of colorectal surgery - viet duc university hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Viet Duc University Hospital
    ClinicalTrials.gov Identifier:
    NCT03643393
    Other Study ID Numbers:
    • HMTT-VD-2018
    First Posted:
    Aug 22, 2018
    Last Update Posted:
    Aug 22, 2018
    Last Verified:
    Aug 1, 2018
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:
    Rectal Prolapse
    Prolapse
    Necrosis

    Study Results

    No Results Posted as of Aug 22, 2018