Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Altemeier operation associated with dynamic graciloplasty: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Altemeier operation associated with dynamic graciloplasty a case report Massimo Mongardini Roberto Paolo Iachetta Alessandra Cola Eleonora Degli Effetti and Filippo Custureri Address Department of Surgical Sciences Division of General Surgery L Sapienza University of Rome Italy Email Massimo Mongardini - Roberto Paolo Iachetta - rpiachetta@ Alessandra Cola - alecola73@ Eleonora Degli Effetti - ele80@ Filippo Custureri - Corresponding author Published 4 December 2009 Received 3 August 2008 Journal of Medical Case Reports 2009 3 9317 doi 1752-1947-3-9317 Accepted 4 December 2009 This article is available from http content 3 1 9317 2009 Mongardini et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction More than 80 of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We found no published reports describing this surgical association. Case presentation We report the case of a 72-year-old Caucasian woman with full-thickness rectal prolapse associated with fecal incontinence from severe neuromuscular damage. Conclusion Combined dynamic graciloplasty and an Altemeier operation could be a valid therapeutic option in patients with severe rectal prolapse with fecal incontinence from severe neurogenic damage. Introduction More than 80 of patients with full-thickness rectal prolapse have co-existing fecal .
