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Altemeier perineal rectosigmoidectomy with indocyanine green fluorescence imaging for a female adolescent with complete rectal prolapse:A case report

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World Journal of Clinical Cases 2021年第4期9卷 847-853页

作者： Tetsu Yamamoto Ryoji Hyakudomi kiyoe takai Takahito Taniura Yuki Uchida Kazunari Ishitobi NoriyukiHirahara Yoshitsugu Tajima Department of Digestive and General Surgery Shimane University Faculty of MedicineIzumo 693-8501ShimaneJapan

BACKGROUND Rectal prolapse in young women is *** laparoscopic ventral mesh rectopexy is the standard procedure because of its lower recurrence rate,postoperative infertility is a *** rectosigmoidectomy(Altemeier procedure)is useful for these ***,the risk of anastomotic leakage should be ***,the usefulness of fluorescence imaging with indocyanine green(ICG)to prevent anastomotic leakage was *** report a case of an adolescent woman with complete rectal prolapse who underwent ICG fluorescence imaging-assisted Altemeier *** SUMMARY A 17-year-old woman who had a mental disorder was admitted to our hospital for treatment for water *** patient also suffered from rectal prolapse,approximately 3 mo before *** was referred to our surgical department because recurrent rectal prolapse could worsen her psychiatric *** 10 cm of complete rectal prolapse was ***,the mean maximum anal resting and constriction pressures were within normal limits on anorectal *** she had the desire to bear children in the future,she underwent Altemeier perineal rectosigmoidectomy to prevent surgery-related *** performed ICG fluorescence imaging at the same time as surgery to reduce the risk of anastomotic *** postoperative course was uneventful,and the rectal prolapse was completely *** continued to do well 18 mo after surgery,without recurrence of the rectal *** ICG fluorescence imaging-assisted Altemeier perineal rectosigmoidectomy is useful in preventing postoperative anastomotic leakage in young as well as elderly patients.

关键词： Indocyanine green fluorescence imaging Rectal prolapse Altemeier operation Young women Mental disorder Perineal rectosigmoidectomy Case report

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