AB002. SOH25_AB_150. Early outcome analysis of the Altemeier procedure: technique and effectiveness in rectal prolapse management

Background: The Altemeier procedure, also known as perineal proctosigmoidectomy, is a well-established surgical approach for managing rectal prolapse, particularly in elderly or high-risk patients. It is minimally invasive and aims to balance effectiveness with reduced perioperative risk. Despite its advantages, variability in outcomes necessitates further evaluation of its technique and early postoperative results. This study aims to analyze the surgical technique and early postoperative outcomes of the Altemeier procedure, focusing on safety, recurrence, and patient recovery.

Methods: A retrospective review was conducted seven consecutive patients undergoing the Altemeier procedure for rectal prolapse. Parameters assessed included patient demographics, operative duration, complications, recurrence rates, length of hospital stay, postoperative pain scores, and functional outcomes. Statistical analysis was performed to identify trends and associations.

Results: Among seven patients (median age 75 years), all presented with full-thickness rectal prolapse. Four patients presented as emergency, three have recurrence from previous surgery. The average operative time was 143 minutes. Early postoperative outcomes were favorable, with a low complication rate, minimal pain (mean score 4/10), and a short median hospital stay of 7 days. Functional recovery, including bowel control, was achieved in 60% of cases. No Recurrence was observed in patients during a follow-up period of 12 months. Patient satisfaction scores were high, reflecting the procedure’s efficacy and tolerability.

Conclusions: The Altemeier procedure is a safe and effective treatment for rectal prolapse, particularly in populations at higher surgical risk. Early outcomes indicate excellent recovery profiles, minimal complications, and high patient satisfaction. Continued follow-up and larger cohort studies are recommended to assess long-term recurrence and refine best practices.

Keywords: Altemeier procedure; rectal prolapse; perineal proctosigmoidectomy; patient outcomes; recurrence analysis