title: [Application of Altemeier procedure in the emergent management of acute incarcerated rectal prolapse].
abstract: OBJECTIVE
  To evaluate the perineal rectosigmoidectomy(Altemeier procedure) in the emergent management of acute incarcerated rectal prolapse.
  
  
  METHODS
  Clinical and follow-up data of 9 patients with acute incarcerated rectal prolapse undergone Altemeier procedure were retrospectively analyzed.
  
  
  RESULTS
  The mean operation time was 1.7 (range 1.0-1.5) hours. The mean total blood loss during surgery was 109 (50-200) ml. The mean time to the first bowel movements was 2.8(1-6) days after surgery. The hospital stay was 5.3(3-10) days. There were no postoperative complications such as anastomotic leakage, intra-abdominal infection, or urogenital dysfunction. One patient developed thrombosis in the mesorectum and one patient had symptoms of anal discomfort. After a mean follow-up of 3.5(5 months-6.5 years) years, no patient had recurrent prolapse. Six months after operation, anal function was Kirwan grade I( in 8 cases and grade II( in 1 case. All the patients were satisfied with the result.
  
  
  CONCLUSIONS
  Altemeier procedure can result in good postoperative anal function when treating incarcerated rectal prolapse, which should be the first choice in emergency treatment.
authors.affiliation: Department of Colorectal Surgery, The First Affiliated Hospital, Wenzhou Medical College, Zhejiang Wenzhou 325000, China.
authors.forename: Zhi-gui
authors.initials: ZG
authors.lastname: Zuo
authors.forename: Hua-Yu
authors.initials: HY
authors.lastname: Song
authors.forename: Chang
authors.initials: C
authors.lastname: Xu
authors.forename: Ji
authors.initials: J
authors.lastname: Li
authors.forename: Shi-chang
authors.initials: SC
authors.lastname: Ni
authors.forename: Zhen-hua
authors.initials: ZH
authors.lastname: Zhou
authors.forename: Shao-qi
authors.initials: SQ
authors.lastname: Chen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods*; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012005:Rectal Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome