Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term
المؤلفون المشاركون
Placer, Carlos
Enriquez-Navascués, Jose M.
Timoteo, Ander
Elorza, Garazi
Borda, Nerea
Gallego, Lander
Saralegui, Yolanda
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-12-10
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Introduction.
The objective of this study was to determine the recurrence rate and associated risk factors of full-thickness rectal prolapse in the long term after Delorme’s procedure.
Patients and Methods.
The study involved adult patients with rectal prolapse treated with Delorme’s surgery between 2000 and 2012 and followed up prospectively in an outpatient unit.
We assessed epidemiological data, Wexner constipation and incontinence score, recurrence patterns, and risk factors.
Data were analyzed by univariate and multivariate studies and follow-up was performed according to Kaplan-Meier technique.
The primary outcome was recurrence.
Results.
A total of 42 patients, where 71.4% (n=30) were women, with a median age of 76 years (IQR 66 to 86), underwent Delorme’s surgery.
The median follow-up was 85 months (IQR 28 to 132).
There was no mortality, and morbidity was 9.5%.
Recurrence occurred in five patients (12%) within 14 months after surgery.
Actuarial recurrence at five years was 9.9%.
According to the univariate analysis, constipation and concomitant pelvic floor repair were the only factors found to be associated with recurrence.
Multivariate analysis showed no statistically significant differences among variables studied.
Kaplan-Meier estimate revealed that constipation was associated with a higher risk of recurrence (log-rank test, p=0.006).
Conclusions.
Delorme’s procedure is a safe technique with an actuarial recurrence at five years of 9.9%.
The outcomes obtained in this study support the performance of concomitant postanal repair and levatorplasty to reduce recurrences.
Also, severe constipation is associated with a higher recurrence rate.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Placer, Carlos& Enriquez-Navascués, Jose M.& Timoteo, Ander& Elorza, Garazi& Borda, Nerea& Gallego, Lander…[et al.]. 2015. Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term. Surgery Research and Practice،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1076613
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Placer, Carlos…[et al.]. Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term. Surgery Research and Practice No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1076613
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Placer, Carlos& Enriquez-Navascués, Jose M.& Timoteo, Ander& Elorza, Garazi& Borda, Nerea& Gallego, Lander…[et al.]. Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term. Surgery Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1076613
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1076613
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر