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Related Experiment Videos

Delorme's procedure for rectal prolapse: clinical and physiological analysis.

Akira Tsunoda1, Naokuni Yasuda, Noboru Yokoyama

  • 1Second Department of Surgery, School of Medicine, Showa University, Tokyo, Japan.

Diseases of the Colon and Rectum
|September 16, 2003
PubMed
Summary

Delorme's procedure for rectal prolapse demonstrated an 87% success rate with significant improvements in anal continence and physiological function. This surgical option offers low morbidity and a reduced recurrence rate.

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Pelvic Floor Disorders

Background:

  • Rectal prolapse is a debilitating condition affecting quality of life.
  • Traditional surgical approaches have varying success rates and complication profiles.
  • Delorme's procedure offers an alternative surgical technique for rectal prolapse repair.

Purpose of the Study:

  • To retrospectively assess the clinical and physiological outcomes of Delorme's procedure for rectal prolapse.
  • To evaluate the efficacy and safety of Delorme's procedure in a cohort of patients.
  • To determine the impact of Delorme's procedure on anal continence and defecatory function.

Main Methods:

  • Retrospective analysis of 31 patients (7 males, 24 females) with full-thickness rectal prolapse.

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  • Patients underwent Delorme's procedure between 1994 and 2002.
  • Median follow-up of 39 months, with assessment of clinical recurrence, complications, and physiological parameters.

    • Main Results:

    • Good results achieved in 87% of patients, with a 13% recurrence rate.
    • Significant improvements observed in resting and squeeze anal pressures, and rectal sensation volumes.
    • 63% of patients experienced improved anal continence, with no new-onset constipation.

    Conclusions:

    • Delorme's procedure is associated with low morbidity and a reasonable recurrence rate for rectal prolapse.
    • The procedure effectively improves anal continence and rectal sensation.
    • Improved physiological function post-procedure correlates with reduced defecatory problems.