Volume 35, Issue 248 (9-2025)
J Mazandaran Univ Med Sci 2025, 35(248): 32-38 |
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Alvandipour M, Rezai K, Khodabakhsh E. Complications and Recurrence Following Levatorplasty and Post-Anal Repair After Altemeier’s Procedure for Rectal Prolapse. J Mazandaran Univ Med Sci 2025; 35 (248) :32-38
URL: http://jmums.mazums.ac.ir/article-1-20856-en.html
URL: http://jmums.mazums.ac.ir/article-1-20856-en.html
Abstract: (66 Views)
Background and purpose: The annual incidence of rectal prolapse is estimated at 2.5 cases per 100,000 individuals in the general population. Altemeier’s procedure, an abdominal surgical approach, is used to treat patients with rectal prolapse. This procedure does not exacerbate constipation and can improve quality of life, with some studies reporting improvement rates of up to 20%. Therefore, the present study aimed to investigate complications and recurrence following levatorplasty and post-anal repair performed in conjunction with Altemeier’s procedure for rectal prolapse.
Materials and methods: This clinical trial involved 40 patients with rectal prolapse at Imam Khomeini Hospital, Sari. Following ethics committee approval, demographic data, including age, gender, history of constipation, and urinary retention, were recorded. Patients were divided into two groups: the first underwent Altemeier’s procedure alone, while the second received Altemeier’s procedure combined with levatorplasty and post-anal repair. Complications, including fecal incontinence, pad use, lifestyle changes, and pain, were assessed via telephone during the first and second trimesters post-surgery, while long-term complications—such as bleeding, stricture, and recurrence—were evaluated at six months. Data were analyzed using SPSS version 24, with a significance level of 0.05.
Results: The study included 40 patients (15 males [37.5%] and 25 females [62.5%]), with a mean age of 57.83 ± 13.82 years. Variables including fecal incontinence (solid, liquid, and gas), pad use, lifestyle changes, pain during the first and second trimesters, and recurrence at six months post-surgery were significantly different between the two groups following Altemeier’s procedure. These findings indicate that patients who underwent levatorplasty and post-anal repair in addition to Altemeier’s procedure experienced better outcomes compared to those who received Altemeier’s procedure alone.
Conclusion: Combining levatorplasty and post-anal repair with Altemeier’s procedure reduces the rate of complications and recurrence compared to Altemeier’s procedure alone.
(Clinical Trials Registry Number: IRCT11N20130826014483)
Materials and methods: This clinical trial involved 40 patients with rectal prolapse at Imam Khomeini Hospital, Sari. Following ethics committee approval, demographic data, including age, gender, history of constipation, and urinary retention, were recorded. Patients were divided into two groups: the first underwent Altemeier’s procedure alone, while the second received Altemeier’s procedure combined with levatorplasty and post-anal repair. Complications, including fecal incontinence, pad use, lifestyle changes, and pain, were assessed via telephone during the first and second trimesters post-surgery, while long-term complications—such as bleeding, stricture, and recurrence—were evaluated at six months. Data were analyzed using SPSS version 24, with a significance level of 0.05.
Results: The study included 40 patients (15 males [37.5%] and 25 females [62.5%]), with a mean age of 57.83 ± 13.82 years. Variables including fecal incontinence (solid, liquid, and gas), pad use, lifestyle changes, pain during the first and second trimesters, and recurrence at six months post-surgery were significantly different between the two groups following Altemeier’s procedure. These findings indicate that patients who underwent levatorplasty and post-anal repair in addition to Altemeier’s procedure experienced better outcomes compared to those who received Altemeier’s procedure alone.
Conclusion: Combining levatorplasty and post-anal repair with Altemeier’s procedure reduces the rate of complications and recurrence compared to Altemeier’s procedure alone.
(Clinical Trials Registry Number: IRCT11N20130826014483)
Type of Study: Research(Original) |
Subject:
General surgery
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