Anzeige
Erschienen in:
23.03.2020 | Originalien
Long-term results after Delorme procedure for rectal prolapse
A 45-month follow-up
Erschienen in: coloproctology | Ausgabe 2/2020
Einloggen, um Zugang zu erhaltenAbstract
Purpose
The Delorme procedure is a perineal approach for the treatment of rectal prolapses, which is recommended for older patients with severe comorbidities. The aim of this study was to obtain long-term results on the outcome of the Delorme procedure.
Methods
All patients with rectal prolapse who underwent a Delorme procedure from May 2011 to December 2017 were included in the study. Data collection was based on a standardized telephone interview. All patients were invited to an outpatient clinic visit for a proctologic examination. In the questionnaire, we recorded information regarding the postoperative recurrence and severity of symptoms (defined as prolapse, moisture, burning, itching, bleeding, outlet obstruction, incontinence, constipation) and further conservative or operative treatments as well as patients’ satisfaction.
Results
Of the 54 patients who underwent a Delorme procedure, follow-up data were available for 48 patients. A recurrent prolapse was recorded in six of 48 patients (12.5%). Postoperative bleeding requiring operative revision was documented in 5.6%. During the postoperative period, an improvement in incontinence and constipation was found in 14 of 25 patients (56.0%) and seven of 19 patients (36.8%), respectively. Of all 36 patients who answered the questionnaire, 47.2% were “very satisfied” and 38.9% “satisfied” with the operation.
Conclusion
The results of the study revealed a relatively low recurrence rate of 12.5% after a mean follow-up of 45 months in combination with a high rate of 86.1% of “very satisfied” or “satisfied” patients. Therefore, the Delorme procedure is a feasible and safe option in patients with rectal prolapse, offering good functional results and low complication rates.
