title: The Delorme repair for full-thickness rectal prolapse: a retrospective review.
abstract: BACKGROUND
  The purpose of this study was to assess our colorectal surgical training program experience with the Delorme procedure for complete rectal prolapse.
  
  
  METHODS
  Consecutive patients were identified from a surgical database and evaluated by chart review.
  
  
  RESULTS
  Seventy-six patients with a mean follow-up period of 3.6 years were included. Outcomes included a recurrence rate of 14.5%, an overall complication rate of 25%, and a surgical site-specific complication rate of 8%. For patients younger than 50 years old (mean age, 36 y; range, 19-49 y), the recurrence rate was 8% with a mean follow-up period of 4.1 years. Their total complication rate was 15%, with no surgery site-specific complications.
  
  
  CONCLUSIONS
  Our results are consistent with previously published experiences in that most preoperative evacuatory symptoms resolve with repair of the prolapse, and serious complications are uncommon. The observation that recurrence and complication rates may be lower in younger medically fit patients suggests the Delorme repair need not be restricted specifically to older, medically unfit patients.
authors.affiliation: St Vincent Department of Colon and Rectal Surgery, Erie, PA 16508, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Lieberth
authors.forename: Laurie Ann
authors.initials: LA
authors.lastname: Kondylis
authors.forename: John C
authors.initials: JC
authors.lastname: Reilly
authors.forename: Philip D
authors.initials: PD
authors.lastname: Kondylis
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012005:Rectal Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult