Complete rectal prolapse clinical and functional outcome with Delorme's procedure: Resultados clínicos y funcionales con la operación de Delorme

Laparoscopic ventral rectopexy for external rectal prolapse is safe and effective in the elderly. Does this make perineal procedures obsolete?

“…This does not mean, however, that perineal procedures are without risk. Delorme’s rectal‐mucosectomy has a morbidity of 12–14% and a mortality of 0–5% [3,26–36]. Altemeier’s perineal rectosigmoidectomy has a similar risk of death (0–6%) and an even higher morbidity (5–25%) [37–53].…”

“…In this sizeable consecutive laparoscopic series of aged patients with full‐thickness rectal prolapse, there were no deaths and morbidity was very low with only one major complication, proof that LVR is safe. It is also very predictable, with a good functional outcome [27–29]. Despite its minimal dissection, LVR also has a very low recurrent prolapse rate compared with the published recurrence rates of up to 38% for perineal procedures [5].…”

Ventral colporectopexy for overt rectal prolapse and obstructed defaecation syndrome: a systematic review

“…Various operations have been developed for rectal prolapse. Transanal procedures are usually reserved for higher‐risk patients with significant comorbidity, but the recurrence rates are higher than after an abdominal approach and they are associated with poorer function . Transabdominal procedures can also be performed laparoscopically and involve the complete mobilization of the rectum, which is subsequently fixed on the sacral promontory with the use of prosthesis.…”

Long‐term outcomes of surgical management of rectal prolapse

“…Published recurrence rates vary from 0% to 20% . Table records the recurrence rates of both abdominal and perineal approaches published in the last decade …”