Altemeier procedure

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Q) True about altemeier procedure?

a) It is proctosigmoidectomy with posterior levataroplasty

b) Done in left lateral position

c) Recurrence rate can be as high as 50%

d) Altemeier was the 1st person to do it

Ans a

The Altemeier procedure, also known as perineal rectosigmoidectomy, is a surgical technique used to treat rectal prolapse.

Altemeier procedure is a perineal surgical procedure in moribund and old patients.

It combines proctosigmoidectomy with posterior  levatorplasty.

A disadvantage of the perineal proctosigmoidectomy is the increased recurrence rates of
12% to 24% compared with the abdominal approach.

It is done in prone jack- knife position It was initiated by Mikulicz in 1899 and popularized by Altemeier in 1920s

Hydatid liver

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Q) Not an indication of surgery in hydatid cyst liver

a) CE2 cyst with multiple daughter cysts

b) Large 10 cm cyst situated peripherally

c) Infected cyst

d) 6 cm asymptomatic cyst

All the following would be seen after splenectomy for hereditary spherocytosis except?

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a) Persistence of spherocytosis

b) Anemia

c) Same osmotic fragility

d) Normal life span of erythrocytes

Answer for all members

Primary Sclerosing Cholangitis

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Q) Which is not an indication of liver transplantation in primary sclerosing cholangitis?

a) Intractable pruritis

b) Recurrent episodes of cholangitis

c) Cholangiocarcinoma

d) Dominant stricture