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A 75-year-old woman with chronic rectal prolapse wishes to discuss surgical treatment planning. She has prolapsing tissue with defecation, which is lifestyle limiting due to bleeding, fecal smearing, and pain. On physical examination, she has a 1.5-cm segment of circumferential prolapsing rectal mucosa with a focal anterior ulcer, no rectocele, and moderate baseline tone. She is frail, with a medical history significant for coronary artery disease after stent placement, receives dual antiplatelet therapy, and has a caretaker to assist with daily activities. What is the best surgical approach for repair of this patient’s prolapse?

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