Perineal Approach in Rectal Prolapse: Case Report

Rectal prolapse is a condition where the full thickness rectal wall or mucosa of the rectum protrudes from the anus. The surgical treatment of rectal prolapse is performed either abdominally or perineally . The perineal procedures are prefered with old patients with the high risk for surgery, and rectosigmoidectomy named as Altemeier procedure is the most preffered procedure. Here in we present a 79 years-old female patient, admitted to our clinic with the history of 24 hours incarcerated rectal prolapse and 2 cm sized polip. Altemeier procedure was performed under regional anesthesia, the patient was discharged on the 4th postoperative day without any complications. Altemeier procedure can be safely administered in indicated elderly patients by experienced surgeon with low morbidity and mortality rates. [Cukurova Med J 2015; 40(2.000): 390-395]