Imran Aslam, Balakh Sher Zaman, Zain Mukhtar.
Delorme’s Procedure; 5 years experience at a Teaching hospital for treatment of Rectal Prolapse.
Pak J Med Health Sci Jan ;13(2):415-7.

Aim: To analyze our results regarding the recurrence rate of patients with complete rectal prolapse undergoing delorme’s procedure . Study Design: Observational study Setting and Duration: Surgery Department, King Edward Medical University (KEMU), Mayo Hospital Lahore from October 2012 to September 2015 . Methodology : A total of 14 adult patients of both genders with complete rectal prolapse (at least 5 to 8 cm in length) who presented in outpatient department of mayo hospital, Lahore were treated with Delorme’s procedure and followed up prospectively in outpatient unit were included in this study. The associated problems included constipation ( 7 patients), rectal bleeding (8 patients) , mucous discharge (6 patients) , anal pain (5 patients) and variable degrees of fecal incontinence(4 patients). Only 2 patients had no associated functional problem. We took in consideration patient age, gender , length of mucosal resection in procedure and risk factors. Follow up of patients ranges from 1 to 3 years (12-36 months) unless death or recurrent prolapse intervened. The primary outcome was recurrence after procedure . Results: A total of 14 patients (11 males and 3 females) ages 16 to 76 years (mean 46.7 years ) underwent Delorme’s Procedure for Complete Rectal Prolapse ( at least 5 to 8cm in length) were included in this study. The follow up period ranges from 12 to 36 months (median 23 months). There was no mortality and morbidity was 14.3 % ( one patient with temporary urinary retention treated with foley’s catheter for 24 hours and one patient with post-operative bleeding controlled with anal packs for 48 hours ). Recurrence occurred in one patient (7.1 %) within 12 months after surgery . Conclusion: Delorme’s Procedure is simple and effective treatment modality for complete rectal prolapse for all age groups with recurrence at 3 year of 7.1% as in our study the outcome regarding recurrence is very low. We recommend this procedure as an alternative procedure to abdominal approaches. Additional studies are required to investigate this further .

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