title: Laparoscopic ventral mesh rectopexy vs Delorme's operation in management of complete rectal prolapse: a prospective randomized study.
abstract: OBJECTIVE
  Various surgical operations have been devised for the treatment of rectal prolapse, yet no ideal procedure has been described. The present study aims to compare the clinical and functional outcome of laparoscopic ventral mesh rectopexy (LVMR) and Delorme's operation for complete rectal prolapse.
  
  
  METHODS
  Fifty patients with complete rectal prolapse were enrolled in this study. Patients were randomly selected to undergo either LVMR or Delorme's procedure after clinical, manometric and radiological evaluation. Patient characteristics, operative data, postoperative complications, recurrence of rectal prolapse and continence state were evaluated. Patients were followed for a mean duration of 18 months.
  
  
  RESULTS
  Thirty-one (62%) patients were women and 19 (38%) patients were men with a mean age of 39.7 ± 6.9 years. Patients were allocated into two equal groups: LVMR group and Delorme's group. Thirty-three (66%) complained of faecal incontinence preoperatively. Patients were followed for 18 months. There was no major postoperative complication or treatment death. Improvement in continence was reported in 80.9% of patients (83.3% in group 1 vs 71.4% in group 2). Recurrent prolapse was observed in 16% of patients in group 2 and 8% in group 1 (P = 0.66). The operation time was significantly greater in group 1 and the length of stay greater in group 2. There was no difference in the fall of constipation score between the groups.
  
  
  CONCLUSIONS
  There was no statistically significant difference in the incidence of recurrence of complete rectal prolapse or postoperative improvement of symptoms between the two groups. Hospital stay was longer after Delorme's procedure but the operation time was shorter. Neither procedure proved definite superiority regarding the clinical and functional outcome at 18 months of follow-up.
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura City, Dakahlia Providence, Egypt.
authors.forename: S H
authors.initials: SH
authors.lastname: Emile
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura City, Dakahlia Providence, Egypt.
authors.forename: H
authors.initials: H
authors.lastname: Elbanna
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura City, Dakahlia Providence, Egypt.
authors.forename: M
authors.initials: M
authors.lastname: Youssef
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura City, Dakahlia Providence, Egypt.
authors.forename: W
authors.initials: W
authors.lastname: Thabet
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura City, Dakahlia Providence, Egypt.
authors.forename: W
authors.initials: W
authors.lastname: Omar
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura City, Dakahlia Providence, Egypt.
authors.forename: A
authors.initials: A
authors.lastname: Elshobaky
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura City, Dakahlia Providence, Egypt.
authors.forename: T M
authors.initials: TM
authors.lastname: Abd El-Hamed
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura City, Dakahlia Providence, Egypt.
authors.forename: M
authors.initials: M
authors.lastname: Farid
mesh_terms: D000328:Adult; D003248:Constipation / Q000209:etiology / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D012005:Rectal Prolapse / Q000150:complications / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Delorme; rectal prolapse; ventral mesh rectopexy