2009
DOI: 10.1016/j.amjsurg.2008.11.012
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The Delorme repair for full-thickness rectal prolapse: a retrospective review

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Cited by 73 publications
(41 citation statements)
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References 26 publications
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“…Results of recent studies [20,21] are consistent with previously published experiences that most preoperative evacuatory symptoms resolve with repair of the prolapse, and serious complications are uncommon. The observation that recurrence and complication rates may be lower in younger, medically fit patients suggests Delorme's repair need not be restricted specifically to older, medically unfit patients.…”
Section: Discussionsupporting
confidence: 79%
“…Results of recent studies [20,21] are consistent with previously published experiences that most preoperative evacuatory symptoms resolve with repair of the prolapse, and serious complications are uncommon. The observation that recurrence and complication rates may be lower in younger, medically fit patients suggests Delorme's repair need not be restricted specifically to older, medically unfit patients.…”
Section: Discussionsupporting
confidence: 79%
“…The goal of each individual procedure is replacement of the protruding rectum, which leads to better function. Many studies, both retrospective and prospective, evaluated the outcome after surgery for rectal prolapse [1,3,4]. However, the heterogeneity of those studies limits the usefulness of even meta-analyses to serve as practice guidance [5].…”
mentioning
confidence: 99%
“…Their overall complication rate was 13%, while our overall rate of complications was 23.5% and 33.3% for the group of elderly after exclusion of the two lethal complications. In a study by Lieberth et al [12] analysing 76 patients including 13 patients younger than 50 years undergoing Delorme's operation, the combined medical and surgical complication rate was 25%. The complication rates for a subcohort of elderly patients were not listeted but presumingly was higher.…”
Section: Discussionmentioning
confidence: 97%
“…In general, perineal approaches can be distinguished from abdominal approaches. The outcomes of these distinct techniques have been widely evaluated [9,11,12]. By nature, perineal procedures are less invasive than abdominal approaches, but with up to 44%, they entail higher rates of recurrent prolapse in comparison to abdominal approaches (0-12%) [13].…”
Section: Introductionmentioning
confidence: 99%