The Altemeier Procedure, or Rectosigmoidectomy, is a surgical technique used to treat rectal prolapse by resecting the redundant bowel through a perineal incision. This approach is particularly effective for elderly patients or those with significant comorbidities.

The procedure involves removing the prolapsed rectum and sigmoid colon through an incision around the anal opening. The remaining rectal tissue is then sutured to the surrounding structures to secure it in place. This technique avoids the need for abdominal surgery.

Postoperative care includes pain management, a high-fiber diet, and measures to prevent constipation. Patients are typically advised to avoid heavy lifting during the initial recovery period.

The Altemeier procedure benefits patients by offering a minimally invasive solution for rectal prolapse with a low risk of complications. This approach ensures improved quality of life and symptom resolution.