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Delorme's Procedure for Complete Rectal Prolapse: Does It Still Have It's Own Role?
Sooho Lee1, Bong-Hyeon Kye, Hyung-Jin Kim
1Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.
Journal of the Korean Society of Coloproctology
|March 14, 2012
Summary
The Delorme
Area of Science:
- Colorectal Surgery
- Gastroenterology
Background:
- Rectal prolapse repair has numerous techniques, none perfect.
- Optimal repair balances prolapse correction, defecatory function, and fecal incontinence management.
Purpose of the Study:
- Evaluate clinical outcomes of the Delorme's procedure for complete rectal prolapse.
- Assess the procedure's efficacy in improving anal continence and recurrence rates.
Main Methods:
- Retrospective review of 19 patients (13 female, 6 male) with complete rectal prolapse.
- Delorme's procedure performed between February 1997 and February 2007.
- Postoperative anal incontinence assessed using the Cleveland Clinic Incontinence Score.
Main Results:
- 15.8% recurrence rate of rectal prolapse.
- 75% of patients reported improved continence, with 43.7% achieving complete recovery.
- One patient (6.3%) developed postoperative constipation.
Conclusions:
- Delorme's procedure offers significant improvement in anal continence.
- The procedure demonstrates a low recurrence rate and low incidence of constipation.
- Delorme's procedure remains a viable option for selected rectal prolapse patients.
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