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Delorme's operation for rectal prolapse in elderly or unfit patients
1Department of Surgery, Akademiska sjukhuset, Uppsala, Sweden.
Objective:
To evaluate the results after Delorme's operation for rectal prolapse in elderly and unfit patients.
Design:
Retrospective analysis and telephone interview.
Setting:
Akademiska sjukhuset, Uppsala, Sweden.
Subjects:
A consecutive series of 14 women (median age 82, range 32-92) operated on for rectal prolapse 1987-1992 and followed up after a median of 18 months.
Results:
There were no serious postoperative complications. Continence was improved in 6/11 incontinent patients. The recurrence rate was 3/14 (21%).
Conclusion:
Delorme's operation is an attractive alternative in elderly or unfit patients, but is not recommended for younger and low risk patients because of the recurrence rate.