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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Related Experiment Video

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The modified Altemeier procedure for a loop colostomy prolapse.

Makoto Watanabe1, Masahiko Murakami2, Yoshiaki Ozawa2

  • 1Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan. m-watanabe@med.showa-u.ac.jp.

Surgery Today
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Summary

The Altemeier operation effectively treats transverse loop colostomy prolapse, a condition impairing quality of life. This surgical option offers a safe and successful alternative for high-risk patients.

Keywords:
Loop colostomy prolapseModified Altemeier procedureStomal prolapse

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Area of Science:

  • Colorectal Surgery
  • Surgical Innovation

Background:

  • Loop colostomy prolapse significantly impacts patient quality of life.
  • Surgical intervention is sometimes necessary for refractory cases, particularly in patients with high-risk morbidities or advanced disease.

Observation:

  • The Altemeier operation, typically indicated for rectal prolapse, was adapted for transverse loop colostomy prolapse.
  • This technique involves a full-thickness circumferential incision of the prolapsed limb and suture anastomosis, avoiding abdominal wall incision.

Findings:

  • Three patients with transverse loop colostomy prolapse underwent the Altemeier operation.
  • No postoperative complications such as obstruction, recurrence, or hernia were observed in the treated patients.

Implications:

  • The Altemeier operation presents a viable and safe surgical option for managing transverse loop colostomy prolapse.
  • This procedure may be particularly beneficial as a permanent solution for high-risk patients with advanced disease.