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Delorme's operation: the first choice in complete rectal prolapse?

J R Monson, N A Jones, P Vowden

    Annals of the Royal College of Surgeons of England
    |May 1, 1986
    PubMed
    Summary
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    The Delorme operation is a safe and effective treatment for complete rectal prolapse in elderly patients, showing a low recurrence rate. This surgical approach offers a viable option for managing rectal prolapse with minimal complications.

    Area of Science:

    • Colorectal Surgery
    • Gastroenterology
    • Surgical Procedures

    Background:

    • Complete rectal prolapse affects a significant number of elderly individuals.
    • Traditional surgical treatments can carry substantial risks for this patient population.

    Purpose of the Study:

    • To evaluate the safety and efficacy of the Delorme operation for complete rectal prolapse.
    • To assess the recurrence rate and patient outcomes following the Delorme procedure.

    Main Methods:

    • A consecutive series of 27 patients with complete rectal prolapse underwent the Delorme operation.
    • Patient demographics, prolapse characteristics, and postoperative outcomes were recorded.

    Main Results:

    • The study included 27 patients with a mean age of 74 years and an average prolapse length of 12 cm.

    Related Experiment Videos

  • No postoperative mortality or morbidity was observed.
  • Over a mean follow-up of 35 months, only two recurrences were reported, with one successfully re-treated.
  • Conclusions:

    • The Delorme operation demonstrates a low recurrence rate and minimal complications for complete rectal prolapse.
    • This procedure is a safe and effective option that should be considered for all patients with complete rectal prolapse.