Abstract
Transperineal rectosigmoidectomy is a relatively safe operation for the treatment of rectal prolapse; however, it carries a high rate of recurrence. The use of biologic mesh to buttress the repair and support the pelvic floor muscles may decrease the rate of recurrence. The technique for performing an Altemeier procedure with biologic mesh is described.
References
Hughes ESR (1949) Discussion on rectal prolapse of the rectum. Proc R Soc Med 421:1007
Altemeier WA (1972) One-stage perineal surgery for complete rectal prolapse. Hosp Pract 7:102
Altermeier WA, Culbertson WR, Schowengerdt C et al (1971) Nineteen years experience with the one-stage perineal repair of rectal prolapse. Ann Surg 173:993
Chun SW, Pikarsky AJ, You SY et al (2004) Perineal rectosigmoidectomy for rectal prolapse: role of levatorplasty. Tech Coloproct 8:3–9
Gurland B, Garrett KA, Firoozi F, Goldman HB (2010) Transvaginal sacrospinous rectopexy: initial clinical experience. Tech Coloproctol 14:169–173
Kosba Y, Elshazly WG, Abd El Maksoud W (2010) Posterior sagittal approach for mesh rectopexy as a management of complete rectal prolapse in adults. W Int J Colorectal Dis 25:881–886
Conflict of interest
The authors report no conflict of interest. Drs. Albert, Larach, and Atallah are paid consultants for Covidien. Drs. Albert and Larach are paid consultants for Applied Medical.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Atallah, S., Albert, M., deBeche-Adams, T.H. et al. The Altemeier procedure using biologic mesh. Tech Coloproctol 16, 149–151 (2012). https://doi.org/10.1007/s10151-011-0786-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10151-011-0786-1