Pouch perineal rectosigmoidectomy: a case report

Baig, Mirza K.; Galliano, Domingo; Larach, Jorge A.; Weiss, Eric G.; Wexner, Steven D.; Nogueras, Juan J.
December 2005
Surgical Innovation;Dec2005, Vol. 12 Issue 4, p373
Academic Journal
journal article
Many surgical methods have been described for the treatment of full-thickness rectal prolapse. Rarely, unusually large lengths of colon must be excised, thus resulting in a significant loss of the absorptive function of the remaining colon. We present an unusual case in which an extraordinary length of the colon was excised and a perineal reservoir was created in the form of a colonic J-pouch to improve continence.


Related Articles

  • An Effective Perineal Procedure for the Management of Full-Thickness Rectal Prolapse. Chun-bao Zhai; Yong-gang Wang; Li-jun Tian; Li-yun Niu; Jian-yong Yang; Zheng Hu // Digestive Surgery;2009, Vol. 26 Issue 4, p333 

    Aims: To evaluate the clinical and functional outcome of transanal purse-string sutures for rectal mucosa and submucosa plus perianal suture (TAS-PAS) for the management of full-thickness rectal prolapse. Methods: The clinical data of 62 patients with full-thickness rectal prolapse treated with...

  • Recurrence and quality of life following perineal proctectomy for rectal prolapse. Glasgow, Sean C.; Birnbaum, Elisa H.; Kodner, Ira J.; Fleshman Jr., James W.; Dietz, David W.; Fleshman, James W Jr // Journal of Gastrointestinal Surgery;Aug2008, Vol. 12 Issue 8, p1446 

    Background: Surgical outcome and quality of life (QOL) following perineal proctectomy for rectal prolapse remain poorly documented.Methods: From 1994 to 2004, patients with full-thickness rectal prolapse were treated exclusively with perineal proctectomy independent of...

  • Perineal rectosigmoidectomy for rectal prolapse: role of levatorplasty. Chun, S. W.; Pikarsky, A. J.; You, S. Y.; Gervaz, P.; Efron, J.; Weiss, E.; Nogueras, J. J.; Wexner, S. D. // Techniques in Coloproctology;Mar2004, Vol. 8 Issue 1, p3 

    The management of full thickness rectal prolapse remains controversial. Although abdominal approaches have a lower recurrence rate than do perineal operations, they are associated with a higher morbidity. The aim of this study was to compare the outcomes of perineal rectosigmoidectomy with and...

  • Manometric study in ulcerative colitis patients with modified ileal pouch–anal anastomosis. Kobakov, Georgi; Kostov, Daniel; Temelkov, Temelko // International Journal of Colorectal Disease;Dec2006, Vol. 21 Issue 8, p767 

    Sphincter-saving operations and construction of intestinal reservoirs aim at additional improvement quality of life of patients with restorative proctocolectomy. The conventional ileoanal anastomosis affects the function of the anal sphincters. There is a need for operative techniques that...

  • Which Operative Repair Is Associated with a Higher Likelihood of Reoperation after Rectal Prolapse Repair? RICCIARDI, ROCCO; ROBERTS, PATRICIA L.; READ, THOMAS E.; HALL, JASON F.; MARCELLO, PETER W.; SCHOETZ, DAVID J. // American Surgeon;Nov2014, Vol. 80 Issue 11, p1128 

    The rate of reoperation after transabdominal as compared with transperineal repair for rectal prolapse is unknown. We evaluated all patients who underwent surgical treatment for rectal prolapse performed through transabdominal or transperineal repair from the trackable California Inpatient data...

  • The fate of the rectal stump after subtotal colectomy for ulcerative colitis. Böhm, G.; O’Dwyer, S. T. // International Journal of Colorectal Disease;Mar2007, Vol. 22 Issue 3, p277 

    To review the outcome of patients who had undergone subtotal colectomy for ulcerative colitis with formation of a rectal stump. To specifically look at the fate of the rectal stump, whether patients underwent emergency colectomy as opposed to urgent or elective resection. Between January 1990...

  • Relapse of Crohn's disease following ileal pouch-anal anastomosis: MDCT and MR features. Cazejust, Julien; Raynal, Marianne; Ruiz, Ana; Azizi, Louisa; Arrivé, Lionel; Menu, Yves // Abdominal Imaging;Feb2012, Vol. 37 Issue 1, p53 

    Objective: The purpose of our study is to use MDCT and MR imaging to describe the normal ileal pouch and to identify features of Crohn's disease (CD) relapse in patients after ileal pouch-anal anastomosis (IPAA). Conclusions: After total colectomy followed by IPAA, features, optimally evaluated...

  • Colectomy with ileostomy for severe ulcerative colitis-postoperative complications and risk factors. Schineis, C.; Lehmann, K. S.; Lauscher, J. C.; Beyer, K.; Hartmann, L.; Margonis, G. A.; Michel, J.; Degro, C. E.; Loch, F. N.; Speichinger, F.; Kreis, M. E.; Kamphues, C. // International Journal of Colorectal Disease;Mar2020, Vol. 35 Issue 3, p387 

    Purpose: In the era of biological therapy of ulcerative colitis (UC), surgical treatment frequently consists of colectomy, end ileostomy, and rectal stump closure before patients go on towards restorative proctocolectomy. We aimed to evaluate possible risk factors for the occurrence of...

  • Rectal Stenosis after Procedures for Prolapse and Hemorrhoids (PPH)—A Report from China. Liqin Yao; Yunshi Zhong; Jianmin Xu; Meidong Xu; Pinghong Zhou // World Journal of Surgery;Jul2006, Vol. 30 Issue 7, p1311 

    Objectives: After it was introduced in China in 2000, the surgical procedure for prolapse and hemorrhoids (PPH) has become a widely accepted for third- and fourth-degree hemorrhoids. Stenosis of the lower rectum is one of the delayed complications. In order to evaluate this specific problem...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics