Authors:

Avgoustou Constantinos

Department of Surgery, General Hospital of Nea Ionia �Constantopouleion Patission � Aghia Olga�, Athens � Greece

DOI: https://doi.org/10.52338/wjsurgy.2022.1011

Abstract:

Rectal prolapse (RP) represents a disabling condition, most commonly seen in elderly women, with concomitant pelvic floor anatomic changes and functional difficulties. The presence of symptoms or an external protruding mass dictate the need for surgical intervention. A multidisciplinary diagnostic evaluation and a surgical repair that should be individualized to each specific RP patient are widely adopted to optimize results. However, research fails to confirm the superiority of transabdominal over perineal procedures due to poor quality and heterogeneity of the available studies. The aim has been to re-evaluate topics of current interest related to the place of perineal procedures in the treatment of RP. The most common perineal procedures, characterized by minimal invasiveness and surgical stress, traditionally reserved for elderly patients and poor candidates for general anaesthesia and abdominal surgery, allow simultaneous repair of concurrent pelvic floor disturbances with minimal risks. The Altemeier�s perineal rectosigmoidectomy (PRS) is highly reasonable and strongly considered in emergencies. Currently, there is a trend towards proposing perineal repairs to healthier patients. In many reports, perineal repairs for RP, the PRS in particular, approach the effectiveness of abdominal repairs. There is still strong need for further highquality studies in order to reach definite conclusions and provide clear recommendations to different patient groups.

Keywords:

Rectal prolapse, perineal rectosigmoidectomy, Altemeier�s procedure

Citation:

Avgoustou Constantinos. Adult Rectal Prolapse and Altemeier�s Rectosigmoidectomy: Current Status and the Place of Perineal Repairs. World Journal of Clinical Surgery 2021.