title: Perineal approaches for the treatment of complete rectal prolapse.
abstract: Perineal approaches for rectal prolapse are particularly useful in high-risk patients or in patients presenting with strangulation. Each technique is useful in certain clinical situations. Altemeier's procedure, with the addition of rectopexy and levatorplasty (Dis Colon Rectum 29: 547-552, 1986) may be the best available perineal operation for long-term correction of prolapse and treatment of associated incontinence.
authors.affiliation: Department of Surgery, Mayo Medical School, Rochester, MN 55905.
authors.forename: C D
authors.initials: CD
authors.lastname: Dietzen
authors.forename: J H
authors.initials: JH
authors.lastname: Pemberton
mesh_terms: D003082:Colectomy / Q000379:methods; D006801:Humans; D010502:Perineum / Q000601:surgery*; D012005:Rectal Prolapse / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013536:Suture Techniques