Comparing perineal repairs for rectal prolapse: Delorme versus Altemeier

Abstract

In patients where abdominal repair of rectal prolapse is judged to be unwise, a Delorme procedure offers short-term control of the prolapse with low risk of complications and with reasonable function. In addition, patients that recur after a Delorme procedure can undergo another similar transanal procedure without compromising the vascular supply of the rectum.

Long-term outcome of perineal rectosigmoidectomy for rectal prolapse

“…Among the surgical options, there is the perineal rectosigmoidectomy, usually associated with low complication rates[7,10,17,18,29,33]. The benefits of this surgery, in comparison with abdominal approach, include decreased postoperative pain due to absence of abdominal incision.…”

Strangulated recurrent rectal prolapse after a Delorme intervention, a case report

“…The Delorme procedure entails a mucosal sleeve resection, proximal to the dentate line, with longitudinal rectal muscular plication …”

“…Between the abdominal and perineal approaches and with the emergence of minimally invasive surgery, various studies have shown that the perineal approach is no longer restricted, but remains preferred for surgically unfit patients. Recurrence rates and morbidities are almost equal …”

Stoma prolapse handmade repair under local anesthesia with variation of Altemeier method in severe patients: a case report and review of the literature

“…However, it is importance to take into account the clinical history and the comorbidities of the patient. In high-risk patients with critical age and high ASA score, it is preferable to follow a more conservative than an invasive technique [7, 9]. …”