The Delormeprocedure: institutional experience: P009


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Abstract

Aim:The aim of this work is to review our experience with Delormeprocedure for complete rectalprolapse (CPR) and symptomatic rectoanal intussusception (RAI) treatment.Method:Retrospective chart review of consecutive patients who underwent the Delormeprocedure at our institution between January of 1999 and December of 2008 was performed.Results:A total of 108 patients underwent Delorme'sprocedure (25 patients for CRP; 83 for RAI). The mean length ofprolapse excised in CRP was 16.7 cm; the mean operating time was 114.5 min. Hospital stay ranged between 4 and 15 days. Complication and recurrence rates were respectively 16% and 10%. In case of RAI the mean length ofprolapse was 15.2 cm; the mean operating time was 121.4 min. Hospital stay was 7.6 ± 4.6 days. Complication and recurrence rates were respectively 26.5% and 8.9%. Preoperative constipation was completely resolved or improved in 84.6% of CRP patients. Preoperative incontinence improved in 57.1% of CPR cases. Preoperative constipation was completely resolved or improved in 80.3% of RAI patients. Preoperative incontinence improved in seven out of nine RAI patients.Conclusion:Delorme'sprocedure is a safe and effective surgical treatment. It is associated with low morbidity and has an acceptable relapse rate.

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