The Delorme repair for full-thickness rectal prolapse: a retrospective review.
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.
Lieberth
Michael
M
St Vincent Department of Colon and Rectal Surgery, Erie, PA 16508, USA.
Kondylis
Laurie Ann
LA
Reilly
John C
JC
Kondylis
Philip D
PD
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