Delorme¡¯s Procedure: An Effective Treatment for a Full-Thickness Rectal Prolapse in Young Patients
Fazeli Mohammad Sadegh, Kazemeini Ali Reza, Keshvari Amir, Keramati Mohammad Reza,
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( Fazeli Mohammad Sadegh )
Tehran University of Medical Sciences Imam Khomeini Medical Center Department of Surgery
( Kazemeini Ali Reza )
Tehran University of Medical Sciences Imam Khomeini Medical Center Department of Surgery
( Keshvari Amir )
Tehran University of Medical Sciences Imam Khomeini Medical Center Department of Surgery
( Keramati Mohammad Reza )
Tehran University of Medical Sciences Imam Khomeini Medical Center Department of Surgery
KMID : 0356720130290020060
Abstract
Purpose: Delorme¡¯s procedure is infrequently applied in young adults because of its assumed higher recurrence rate. The aim of this prospective study was to assess the efficacy of the Delorme¡¯s technique in younger adults.
Methods: Fifty-two consecutive patients were entered in our study. We followed patients for at least 30 months. Their complaints and clinical exam results were noted.
Results: Our study included 52 patients (mean age, 38.44 years; standard deviation, 13.7 years). Of the included patients, 41 (78.8%) were younger than 50 years of age, and 11 (21.1%) were older than 50 years of age. No postoperative mortalities or major complications were noted. Minor complications were seen in 5 patients (9.6%) after surgery. The mean hospital stay was 2.5 days. In the younger group (age ¡Â50 years), fecal incontinence was improved in 92.3% (12 out of 13 with previous incontinence) of the patients, and recurrence was seen in 9.75% (4 patients). In the older group (age >50 years), fecal incontinence was improved in 20% (1 out of 5 with previous incontinence) of the patients, and recurrence was seen in 18.2% (2 patients). In 50% of the patients with a previous recurrence (3 out of 6 patients) following Delorme¡¯s procedure as a secondary procedure, recurrence was observed.
Conclusion: Delorme¡¯s procedure, especially in younger patients, is a relatively safe and effective treatment and should not be restricted to older frail patients. This procedure may not be suitable for recurrent cases.
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Rectal prolapse;Aged;Recurrence;Fecal incontinence
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