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Delorme operation for rectal prolapse

S A Tobin1, I H Scott

  • 1Department of Surgery, Ipswich Hospital, UK.

The British Journal of Surgery
|November 1, 1994
PubMed
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The Delorme operation effectively treated rectal prolapse in elderly patients, with significant improvements in continence for those with fecal incontinence. This surgical approach shows promise for a wider patient demographic.

Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Geriatric Medicine

Background:

  • Full-thickness rectal prolapse affects elderly individuals, often with co-existing conditions.
  • Surgical interventions are necessary for managing rectal prolapse and associated fecal incontinence.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the Delorme operation for full-thickness rectal prolapse in elderly patients.
  • To assess the impact of the Delorme operation on fecal incontinence in this patient cohort.

Main Methods:

  • A prospective study of 49 elderly patients (mean age 73) with full-thickness rectal prolapse.
  • Standardized Delorme operation performed by a single surgeon, with clinical review of 43 patients.

Main Results:

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  • The Delorme operation successfully abolished rectal prolapse in 32 patients.
  • Continence was achieved in half of the 40 patients experiencing fecal incontinence.
  • Procedure failure was linked to prior anorectal surgery and psychiatric conditions.

Conclusions:

  • The Delorme operation is a viable and effective treatment for elderly and medically compromised patients with rectal prolapse.
  • Positive outcomes suggest potential for broader application in younger patient populations.