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Delorme’s Procedure for Rectal Prolapse

Clinical and Physiological Analysis

  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: Clinical and physiological results of Delorme’s procedure were assessed retrospectively in patients undergoing this procedure for rectal prolapse. METHODS: A consecutive series of 31 patients (7 males, 24 females; age, 14–93, mean 70 years) with full-thickness, rectal prolapse were treated by Delorme’s procedure between 1994 and 2002. Median follow-up was 39 (range, 6–96) months. RESULTS: Good results were achieved in 27 patients (87 percent), prolapse recurrence was observed in 4 (13 percent), and mean recurrence time was 14 (range, 3–25) months. There were no postoperative deaths. Minor complications occurred in four patients. The median changes in preoperative and postoperative physiologic patterns in 16 patients were as follows: resting pressure from 21.0 (range, 5–48) to 23.5 (range, 12–76) cm H2O (P = 0.030), squeeze pressure from 64.0 (range, 27–248) to 108.0 (range, 32–264) cm H2O (P = 0.041), volume at first sensation from 100 (range, 70–180) to 70 (range, 40–130) ml (P = 0.002), maximum tolerated volume from 260 (range, 120–400) to 160 (range, 70–400) ml (P = 0.001). Incontinence improved in 63 percent. No patient became constipated, and 38 percent of those constipated preoperatively improved. The preoperative incontinence score improved from 11.5 (range, 1–20) to 6.0 (range, 0–20) after operation (P < 0.0001). CONCLUSION: Delorme’s procedure had a low morbidity, did not lead to constipation, improved anal continence, and had a reasonably low recurrence rate. Improved anal sphincter and rectal sensation were associated with a reduced incidence of defecatory problems after Delorme’s procedure.

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Authors and Affiliations

    Authors
    1. Akira Tsunoda M.D., Ph.D.
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    2. Naokuni Yasuda M.D., Ph.D.
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    3. Noboru Yokoyama M.D., Ph.D.
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    4. Goichi Kamiyama M.D., Ph.D.
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    5. Mitsuo Kusano M.D., Ph.D.
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    Tsunoda, A., Yasuda, N., Yokoyama, N. et al. Delorme’s Procedure for Rectal Prolapse. Dis Colon Rectum 46, 1260–1265 (2003). https://doi.org/10.1007/s10350-004-6724-9

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    • DOI: https://doi.org/10.1007/s10350-004-6724-9

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