[Surgical treatment of rectal prolapse by the Delorme technique and rectopexy].
OBJECTIVE
Rectopexy is the most common technique used to correct rectal prolapse. Perineal procedures such as the Delorme technique and others are employed for older frail patients with significant comorbidity because of the higher recurrence rate. This study evaluated results of the Delorme technique and rectopexy.


METHODS
Retrospective study of 31 patients with rectal prolapse treated from 1997 to 2005. Among them, 15 patients (group A) were treated by rectopexy and 16 by the Delorme technique (group B). Analysis of hospital stay, morbidity, complications and recurrence rate was carried out.


RESULTS
There was longer hospital stay, seven days (3 to 11days) in group A, compared to four days (2 to 6 days) in group B. Recurrence rate was similar, respectively 13.3% and 6.6% (not significant). Most patients presented low rest and squeezing pressure, although half of them became fully continent after surgery (group A=53% and group B =50%). Morbidity was 40% and 18.9%, respectively for groups A and B. Sacral hemorrhage occurred in one patient and was controlled during rectopexy. A case of bleeding occurred in group B and ceased spontaneously without surgical procedure. There was a rectal stricture in group B treated successfully with digital dilatation at the doctor's office.


CONCLUSIONS
The Delorme technique for treatment of rectal prolapse is a safe procedure and presents results similar to rectopexy. In addition it also has lower morbidity, and could be more often indicated.
Fang
Chia Bin
CB
Departamento de Cirurgia da Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP. Colon.reto@terra.com.br
Candelária
Paulo de Azeredo Passos
Pde A
Klug
Wilmar Artur
WA
Capelhuchnik
Peretz
P
D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012005:Rectal Prolapse / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome