Perineal Rectosigmoidectomy (Altemeier's Procedure) As a Surgical Treatment of Rectal Prolapse in Elderly People: Case Report and Review of the Literature

Rectal prolapse is the complete protrusion of the rectum through the anus. It is more common in elderly women and among its symptoms can be observed bleeding, constipation, pain or incontinence. Its treatment is fundamentally surgical. We present the case of an 81-year-old patient with a history of constipation and incontinence secondary to a complete rectal prolapse. A rectosigmoidectomy was performed for perineal repair (Altemeier procedure). Repair of rectal prolapse can be done both, abdominal or perineal way. Traditionally, the perineal time has been reserved for elderly patients with greater comorbidities, presenting a higher rate of recurrence. Currently there is no consensus on the route of rectal prolapse approach, being the choice of the surgeon according to their preference and type of patient.

Author(s): Mendoza Moreno F, Minaya Bravo A, Diez Gago MR, Minguez Garcia J, Enjuto Martínez DT, Tallon Iglesias B, Solana Maono M and Arguello de Andres JM

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