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Rectal Prolapse in the Healthy Patient: Is Perineal Approach Ever Indicated?

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Current Common Dilemmas in Colorectal Surgery

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Abstract

Perineal proctosigmoidectomy or the Altemeier procedure has been marginalized to the elderly due to high recurrence rates. However, a review of the literature suggests that this technique may be unfairly scrutinized due to outdated techniques and severe heterogeneity among the earlier published reports. In fact, recent studies show that the perineal proctosigmoidectomy with levatorplasty is safe and effective, has a favorably low recurrence rate, and should also be considered in healthy, young patients.

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Authors and Affiliations

  1. Department of Surgery, PENN Presbyterian Medical Center, Philadelphia, PA, USA

    Skandan Shanmugan & Joshua I. S. Bleier

Authors
  1. Skandan Shanmugan
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  2. Joshua I. S. Bleier
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Correspondence to Joshua I. S. Bleier .

Editor information

Editors and Affiliations

  1. London Health Sciences Centre, University Hospital, London, Ontario, Canada

    Christopher M. Schlachta

  2. Mount Sinai School of Medicine, New York, New York, USA

    Patricia Sylla

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Shanmugan, S., Bleier, J.I.S. (2018). Rectal Prolapse in the Healthy Patient: Is Perineal Approach Ever Indicated?. In: Schlachta, C., Sylla, P. (eds) Current Common Dilemmas in Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-70117-2_15

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  • DOI: https://doi.org/10.1007/978-3-319-70117-2_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70116-5

  • Online ISBN: 978-3-319-70117-2

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