EVALUATION OF DELOR1VEE'S RECTOPEXY IN TREATMENT OF COMPLETE RECTAL PROLAPSE IN ELDER PATIENTS
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Delorme's rectopexy is a perineal approach known long time ago for treatment of complete rectal prolapse, but was claimed to have high recurrence and high morbidity and mortality. Recently, modification of the technique together with the simplicity of the procedure have led to reappraisal of Delorme's rectopexy as an option for treatment of complete rectal prolapse in the last two decades. The aim of this study is to evaluate Delorme's procedure in treatment of complete rectal prolapse in elder patients. Methods: Twenty patients over the age of 55 years suffering from fullthickness rectal prolapse had Delorme's rectopexy. Preoperative mechanical colonic preparation and pen-operative systemic antibiotics and DVT prophylaxis were used. Results: 20 'patients (18 festtales and 2 males) with a mean age of 63.4 years had Delorme's rectopexy procedure. 4 patients of them were recurrent cases after previous abdominal recropexy. There was no mortality. minor morbidity with a mean hospital stay of 5 days. The overall patient satisfaction was 75% during a mean postoperative follow-up period of 24 months. The improvement of symptoms was significant for patients suf fering from associated constipation, rectal bleeding and straining during defecation. Associated preoperative anal incontinence failed to show significant improvement after Delorme's rectopexy. Recurrent rectal prolapse complicated 20% of cases. Conclusion: Delorme's rectopexy is an easy, safe and reliable procedure that can be recommended as treatment of choice for old patients es-pecially those suffering from complete rectal prolapse associated with constipation.