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
