Altemeier procedure

Q) True about altemeier procedure?

a) It is proctosigmoidectomy with posterior levataroplasty

b) Done in left lateral position

c) Recurrence rate can be as high as 50%

d) Altemeier was the 1st person to do it

Ans a

The Altemeier procedure, also known as perineal rectosigmoidectomy, is a surgical technique used to treat rectal prolapse.

Altemeier procedure is a perineal surgical procedure in moribund and old patients.

It combines proctosigmoidectomy with posterior  levatorplasty.

A disadvantage of the perineal proctosigmoidectomy is the increased recurrence rates of
12% to 24% compared with the abdominal approach.

It is done in prone jack- knife position It was initiated by Mikulicz in 1899 and popularized by Altemeier in 1920s