| Popis: |
Perineal proctosigmoidectomy or the Altemeier procedure has been marginalized to the elderly due to high recurrence rates. However, a review of the literature suggests that this technique may be unfairly scrutinized due to outdated techniques and severe heterogeneity among the earlier published reports. In fact, recent studies show that the perineal proctosigmoidectomy with levatorplasty is safe and effective, has a favorably low recurrence rate, and should also be considered in healthy, young patients. |
