Complete rectal prolapse clinical and functional outcome with Delorme's procedure.

Area of Science:

• Gastroenterology
• Colorectal Surgery
• Surgical Outcomes

Background:

• Rectal prolapse management involves various surgical approaches.
• Perineal and abdominal routes are commonly described.
• Delorme's perineal procedure is a specific surgical technique evaluated in this study.

Purpose of the Study:

• To evaluate the clinical and functional outcomes of Delorme's perineal procedure.
• Assessing the efficacy and safety of this surgical technique for complete rectal prolapse.

Main Methods:

• A study of 21 patients with complete rectal prolapse from July 2000 to October 2005.
• Inclusion of patient demographics, anesthetic risk, and symptoms.
• Diagnostic assessments included colonoscopy, anorectal manometry (pre- and post-surgery), and 360-degree endoanal ultrasonography.
• All procedures were performed by a single surgical team.

Main Results:

• No mortality and minimal morbidity were observed.
• A prolapse recurrence rate of 9.52% with a mean follow-up of 34 months.
• Improved anal continence in 87.5% of patients.
• No surgery-associated constipation, with a mean hospital stay of 2 days.
• High patient satisfaction reported in 76.19% of cases.

Conclusions:

• Delorme's procedure is associated with low morbidity and acceptable relapse rates for complete rectal prolapse.
• The procedure effectively improves anal continence without causing postsurgical constipation.
• High patient satisfaction is attributed to the procedure's comfort (intradural anesthesia, short hospital stay, minimal pain) and optimal results.