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The Altemeier procedure using biologic mesh.

S Atallah1, M Albert, T H deBeche-Adams

  • 1Florida Hospital, Winter Park, Orlando, FL, USA. atallah@post.harvard.edu

Techniques in Coloproctology
|November 16, 2011
PubMed
Summary
This summary is machine-generated.

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Transperineal rectosigmoidectomy for rectal prolapse is safe but often recurs. Using biologic mesh may reduce recurrence by supporting pelvic floor muscles during the Altemeier procedure.

Area of Science:

  • Gastroenterology and Surgical Innovation
  • Pelvic Floor Disorders
  • Surgical Repair Techniques

Background:

  • Rectal prolapse is a condition requiring surgical intervention.
  • Transperineal rectosigmoidectomy is a common surgical approach.
  • High recurrence rates remain a challenge after rectosigmoidectomy.

Purpose of the Study:

  • To evaluate the efficacy of biologic mesh in reducing recurrence after transperineal rectosigmoidectomy.
  • To describe the technique of incorporating biologic mesh into the Altemeier procedure.
  • To investigate methods for improving outcomes in rectal prolapse surgery.

Main Methods:

  • Description of the Altemeier procedure modified with biologic mesh augmentation.
  • Focus on buttressing the repair and supporting pelvic floor muscles.

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  • Surgical technique details for mesh placement during transperineal rectosigmoidectomy.

    • Main Results:

    • Biologic mesh may decrease the recurrence rate of rectal prolapse.
    • The modified Altemeier procedure offers potential for improved long-term outcomes.
    • The technique is presented as a feasible option for surgeons.

    Conclusions:

    • Transperineal rectosigmoidectomy with biologic mesh augmentation is a potentially effective strategy.
    • This technique may offer a solution to the high recurrence rates associated with traditional Altemeier procedures.
    • Further studies are warranted to confirm the long-term efficacy and safety of this approach.