Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term
Joint Authors
Placer, Carlos
Enriquez-Navascués, Jose M.
Timoteo, Ander
Elorza, Garazi
Borda, Nerea
Gallego, Lander
Saralegui, Yolanda
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076613