Altemeier's procedure after laparoscopic rectopexy in refractory Crohn's proctitis-A video vignette

Abstract

Full-thickness rectal prolapse is a functionally disturbing disorder that usually affects the elderly and predominantly women. Its pathophysiology is complex: patients with this condition usually have lax pelvic floor muscles, a deep pouch of Douglas and lax lateral rectal ligaments. Surgical correction can be done via abdominal or perineal approaches. The abdominal approach is the procedure of choice for young healthy patients as it carries a lower risk of recurrence, while the perineal approach is usually performed in old comorbid patients. Unlike the common presentation, our patient was a young man who had Crohn's proctitis and had a recurrence after an abdominal approach.