A frail 82-year-old woman with complete rectal prolapse is scheduled for perineal repair. The surgeon plans to excise the full-thickness redundant rectosigmoid and perform a coloanal anastomosis with levator ani plication. Which procedure is described?
- A Delorme procedure
- B Frykberg-Goldberg procedure
- C Altemeier procedure ✓
- D Laparoscopic ventral mesh rectopexy
Correct answer: C. Altemeier procedure
Explanation
The Altemeier procedure is a perineal proctosigmoidectomy with coloanal anastomosis and levator plication, suitable for high-risk patients. The Delorme procedure only strips mucosa and plicates the rectal wall without full-thickness resection. The Frykberg-Goldberg procedure adds resection but is less commonly used. Ventral mesh rectopexy is an abdominal approach.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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