To explore the efficacy of modified Altemeier procedure in the treatment of complete rectal prolapse——A multicenter clinical study

Abstract

Background： Currently, the Altemeier procedure is clinically ineffective, with a high rate of postoperative recurrence and complications.To explore the efficacy of the modified Altemeier procedure in the treatment of complete rectal prolapse. Method and Main outcome measures:The enrolled patients with complete rectal prolapse were divided into traditional and modified groups according to the surgical approach. The primary outcomes included complication rates, time and severity of postoperative recurrence, changes in pre-and postoperative Wexner anal incontinence scores, and ED-5Q-5L quality-of-life autonomy scores. Secondary outcomes included operative time, intraoperative bleeding, and length of hospital stay. Conclusions: Pathological dilatation of the distal rectum may be another anatomical defect in complete rectal prolapse. The results of the clinical study confirmed the clinical effectiveness and safety of the modified Altmeyer procedure, which has high clinical application value.