Delorme procedure for full-thickness rectal prolapse: a report of 25 cases / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 285-287, 2012.
Article
in Zh
| WPRIM
| ID: wpr-290801
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the use of Delorme procedure for full-thickness rectal prolapse.</p><p><b>METHODS</b>A series of 25 patients with full-thickness rectal prolapse were treated by Delorme procedure in four institutions between March 2005 and June 2010. The clinicopathological data were analyzed retrospectively.</p><p><b>RESULTS</b>There were 9 males and 16 females. The mean age was 52(46-72) years old. All the procedures were successfully performed. There were no perioperative deaths. The mean operative time was 65(45-150) min. The intraoperative bleeding was 58(20-200) ml. The mean length of hospital stay was 8.5(5-14) days. Anastomosis dehiscence occurred in 1 patient at post-operative day 7 who was managed under anesthesia. Minor complications occurred in 8(32%) patients, including urinary retention(n=3), intractable pain(n=1), and bowel obstruction(n=4). The follow up time ranged from 2 to 6 years with a median of 3.5 years. Prolapse recurrence was observed in 1(4%) patient during the follow up. The remission rates of fecal incontinence, constipation, bleeding were 37.5%(6/16), 45.5%(5/11), and 15.4%(2/11), respectively. The Wexner incontinence score significantly decreased (median, 5.0 vs. 9.0, P<0.01). The resting pressure and maximum squeeze pressure increased significantly after surgery, while the initial volume and maximal tolerance volume decreased significantly(All P<0.01).</p><p><b>CONCLUSIONS</b>Delorme procedure is safe and easy to perform. The anorectal function is improved after surgery. Therefore it should be considered the procedure of choice for rectal prolapsed.</p>
Full text:
1
Index:
WPRIM
Main subject:
General Surgery
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Retrospective Studies
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Follow-Up Studies
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Rectal Prolapse
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Treatment Outcome
Type of study:
Observational_studies
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Prognostic_studies
Limits:
Aged
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2012
Type:
Article