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[Rectal prolapse. Experiences with rectopexy and Delorme's operation]

E Johnson1, K Nygaard, A Bakka

  • 1Gastroenterologisk avdeling, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 10, 1993
PubMed
Summary

Delorme's operation for rectal prolapse had a high recurrence rate (32%) but is a viable option for elderly patients. Reoperation yielded good results, with rectopexy showing no recurrences.

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Gastrointestinal Procedures

Background:

  • Rectal prolapse affects a significant patient population, necessitating effective surgical interventions.
  • Traditional surgical methods for rectal prolapse carry varying risks and recurrence rates.

Purpose of the Study:

  • To compare the outcomes of Delorme's operation versus rectopexy for treating rectal prolapse.
  • To evaluate recurrence rates, postoperative complications, and functional results in patients undergoing these procedures.

Main Methods:

  • A retrospective analysis of 52 patients treated for rectal prolapse between 1982-91.
  • 25 patients underwent Delorme's operation, and 14 underwent rectopexy, with follow-up exceeding 12 months.

Main Results:

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  • Delorme's operation resulted in an 8 (32%) recurrence rate, with 5 successful reoperations. Rectopexy had no recurrences.
  • Postoperative complications occurred in 8 (15%) patients; one rectopexy patient died from peritonitis.
  • Both procedures led to reductions in incontinence and bleeding.

Conclusions:

  • Delorme's operation is a suitable alternative for rectal prolapse, especially in elderly or debilitated patients, due to minimal serious complication risk.
  • Despite recurrence potential, Delorme's operation offers good outcomes with successful reoperation possibilities.
  • Rectopexy demonstrated a superior outcome regarding prolapse recurrence in this study.