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. |
