Role of the Delorme Procedure for Rectal Prolapse in Young Patients

Hwang, Yong Hee

doi:10.3393/ac.2013.29.2.41

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Many authors agree that the low recurrence rates among younger patients undergoing Delorme's procedure are due to the good state of their pelvic floor musculature as compared to elderly patients, who have a weak pelvic floor [ 17 ]. None of our patients aged <65 years had recurrence, but statistically significant differences were not observed due to the small sample size.…”

Section: Discussionmentioning

confidence: 99%

Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term

Placer

Enríquez-Navascués

Timoteo

et al. 2015

Surgery Research and Practice

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Introduction. The objective of this study was to determine the recurrence rate and associated risk factors of full-thickness rectal prolapse in the long term after Delorme's procedure. Patients and Methods. The study involved adult patients with rectal prolapse treated with Delorme's surgery between 2000 and 2012 and followed up prospectively in an outpatient unit. We assessed epidemiological data, Wexner constipation and incontinence score, recurrence patterns, and risk factors. Data were analyzed by univariate and multivariate studies and follow-up was performed according to Kaplan-Meier technique. The primary outcome was recurrence. Results. A total of 42 patients, where 71.4% (n = 30) were women, with a median age of 76 years (IQR 66 to 86), underwent Delorme's surgery. The median follow-up was 85 months (IQR 28 to 132). There was no mortality, and morbidity was 9.5%. Recurrence occurred in five patients (12%) within 14 months after surgery. Actuarial recurrence at five years was 9.9%. According to the univariate analysis, constipation and concomitant pelvic floor repair were the only factors found to be associated with recurrence. Multivariate analysis showed no statistically significant differences among variables studied. Kaplan-Meier estimate revealed that constipation was associated with a higher risk of recurrence (log-rank test, p = 0.006). Conclusions. Delorme's procedure is a safe technique with an actuarial recurrence at five years of 9.9%. The outcomes obtained in this study support the performance of concomitant postanal repair and levatorplasty to reduce recurrences. Also, severe constipation is associated with a higher recurrence rate.

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Section: Discussionmentioning

confidence: 99%

Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term

Placer

Enríquez-Navascués

Timoteo

et al. 2015

Surgery Research and Practice

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“…Mucosal stripping of the prolapsed rectum followed by plication of the underlying muscular layer was first described by Delorme [ 5 ] . Patients with a short, full-thickness rectal prolapse can be treated with a mucosal sleeve resection; however, for a longer prolapse, a mucosal sleeve resection is associated with a higher recurrence rate compared with abdominal approaches [ 6 , 7 ] . Sphincteroplasty has been advocated to restore sphincter function in patients with traumatic sphincteric injury.…”

Section: Introductionmentioning

confidence: 99%

Delorme's operation plus sphincteroplasty for complete rectal prolapse associated with traumatic fecal incontinence

2015

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Rectal prolapse associated with traumatic fecal incontinence is a rare clinical combination. This study was designed to assess Delorme's operation with sphincteroplasty as a surgical management of this combination in terms of recurrence and improvement of fecal incontinence. In this prospective study, we enrolled patients suffering from short, full-thickness rectal prolapse associated with traumatic fecal incontinence who had been admitted to Alexandria Main University Hospital during the period of May 2010–January 2013. Preoperative data including cause of trauma, duration of symptoms, results of anal manometry, and degree of fecal incontinence using Wexner score were collected from all patients. Delorme's procedure with overlap sphincteroplasty was done in all patients. Recurrence of prolapse and improvement of fecal incontinence were assessed after 1, 3, 6 and 12 months. The study included 13 patients aged (32±8.7) years, 9 females and 4 males. Cause of sphincteric injury included previous anal surgery in 7 patients and normal labor in 6 patients. Duration between sphincteric injury and operation was (8.08±2.47) months. Preoperative Wexner's mean score was 16.07±3.4. Early postoperative complications included superficial wound infection (69.2%), minor wound dehiscence (61.5%), and postoperative bleeding (7.6%). Recurrence was detected in 1 patient at 6 month follow-up. Wexner's score showed significant improvement for all patients after 6 months (4.00±2.04). In conclusion, combination of Delorme's procedure and sphincteroplasty for treatment of patients with short complete rectal prolapse associated with traumatic fecal incontinence is a safe, effective surgical management with satisfactory results regarding anatomical and functional outcomes.

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Outcome of laparoscopic ventral mesh rectopexy for full-thickness external rectal prolapse: a systematic review, meta-analysis, and meta-regression analysis of the predictors for recurrence

et al. 2019

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Role of the Delorme Procedure for Rectal Prolapse in Young Patients

Cited by 3 publications

References 4 publications

Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term

Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term

Delorme's operation plus sphincteroplasty for complete rectal prolapse associated with traumatic fecal incontinence

Outcome of laparoscopic ventral mesh rectopexy for full-thickness external rectal prolapse: a systematic review, meta-analysis, and meta-regression analysis of the predictors for recurrence

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