Rectal prolapse: mechanical resection sec. altemeier (Reverse Transtar)

Background The recent literature confirms that perineal rectosigmoidectomy sec. Altemeier in the case of a full-thickness rectal prolapse represents, to the state, the procedure of choice even if burdened by a relatively high recurrence rate. Some authors oppose the transabdominal rectopexy to the perineal resection with or without resection of the sigma, with or without the aid of prosthesis, sustaining the Altemeier cause of fecal incontinence.