Altemeier Perineal Proctosigmoidectomy for Rectal Prolapse

Madison S McCarthy
Stanford University School of Medicine

Charlotte M Rajasingh, MD
Stanford University School of Medicine

Brooke Gurland, MD
Stanford University School of Medicine

Full-thickness rectal prolapse occurs when the rectum invaginates into the anal canal and beyond the anal sphincters. The only definitive treatment for rectal prolapse is surgery. Here, Dr. Brooke Gurland at Stanford University Medical Center presents an Altemeier proctosigmoidectomy on an 80-year-old female with full-thickness rectal prolapse. The redundant rectum is delivered and then excised through a transanal approach, and the proximal colon is sutured to the distal end of the rectum.