How to treat rectal prolapse in a male patient with faecal incontinence? Delorme’s procedure combined with levatorplasty ‐ Video Vignette

2021 ◽  
Author(s):  
Mostafa Shalaby ◽  
Waleed Omar ◽  
Hossam Elfeki
Keyword(s):  
Rectal Prolapse ◽  
Male Patient ◽  
Faecal Incontinence ◽  
Delorme’S Procedure ◽  
Delorme's Procedure ◽  
Video Vignette

scholarly journals Evaluation of Delorme’s Procedure in the Treatment of Complete Rectal Prolapse- A Comparison with Abdominal Rectopexy (Well’s procedure)

2021 ◽  
Vol 34 (1) ◽  
pp. 40-46
Author(s):  
Md Ariful Alam Suman ◽  
Md Habibullah Sarkar ◽  
Istiak Ahmed ◽  
Sulatanul Abedin ◽  
Md Shohidul Islam ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Hospital Stay ◽  
P Value ◽  
Complete Rectal Prolapse ◽  
Advantages And Disadvantages ◽  
Group I ◽  
Abdominal Rectopexy ◽  
Delorme’S Procedure ◽  
Group 2 ◽  
Delorme's Procedure

Background: There are versatile operative techniques for treating complete rectal prolapse. Every procedure has some advantages and disadvantages. Delorme’s procedure and abdominal rectopexy (Well’s procedure) have gained more popularity. But to determine which approach is better, it is needed to evaluate the functional outcome of both procedures. Objective: To compare the outcome of Delorme’s procedure and abdominal rectopexy to treat complete rectal prolapse. Methodology: A randomized control trial was conducted in 25 patients with complete rectal prolapse in the department of Surgery, RMCH. They were divided into two groups by randomization. Fifteen patients included in Group-I underwent Delorme’s procedure, and ten patients included in group-II underwent abdominal rectopexy (Well’s procedure). The outcome of both procedures was compared postoperatively.  Results: In group-1, we have found uneventful outcomes of 10 (66.66%) patients, and hemorrhage, minor incontinence, and retention of urine were found in 2(13.3%), 1(6.66), and 4(26.66%) patients, respectively. In group-2 patients, 5(50%) patients recovered uneventfully, whereas hemorrhage, surgical site infection, retention of urine, bladder dysfunction, and constipation were found in 2(20%), 1(10%), 1(10%), 1(10%) and 2(20%) patients respectively. The mean operation time in group-I was 92.86 min and in Group 2 was 124.00 min with a p-value of 0.001. The average post-operative hospital stay after Delorme’s procedure was <4 days in 4 patients and 4-6 days in the rest 11 patients. But the hospital stay is a little lengthier in the case of abdominal rectopexy (Well’s procedure), where seven patients were discharged within 4-6 days, and three patients were discharged after the 5th day of operation. In group I, expenditure was <7000 taka in 10 (66.66%) patients, whereas in group-2 , the cost was 10000-15000 in 7(70%) patients with a p-value of 0.001. Conclusion: We can conclude that Delorme’s procedure is comparatively safer and cost-effective than Well’s procedure, considering different vital parameters. TAJ 2021; 34: No-1: 40-46

Physiological changes after Delorme's procedure for full-thickness rectal prolapse

1995 ◽  
Vol 82 (11) ◽  
pp. 1475-1478 ◽  
Author(s):  
S. M. Plusa ◽  
J. A. Charig ◽  
V. Balaji ◽  
A. Watts ◽  
M. R. Thompson
Keyword(s):  
Rectal Prolapse ◽  
Physiological Changes ◽  
Full Thickness ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

scholarly journals Delorme's Procedure for Complete Rectal Prolapse of Patients with Mental Disorders: Report of Three Cases

1999 ◽  
Vol 11 (1) ◽  
pp. 41-44
Author(s):  
Naokuni YASUDA ◽  
Katsuo YAMAZAKI ◽  
Yusuke OHASHI ◽  
Yuta ENAMI ◽  
Tatsuji MATSUZAWA
Keyword(s):  
Mental Disorders ◽  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

scholarly journals Delorme's Procedure: An Effective Treatment for a Full-Thickness Rectal Prolapse in Young Patients

2013 ◽  
Vol 29 (2) ◽  
pp. 60 ◽  
Author(s):  
Mohammad Sadegh Fazeli ◽  
Ali Reza Kazemeini ◽  
Amir Keshvari ◽  
Mohammad Reza Keramati
Keyword(s):  
Rectal Prolapse ◽  
Effective Treatment ◽  
Young Patients ◽  
Full Thickness ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

scholarly journals Transanal endorectal approach for the treatment of idiopathic rectal prolapse in children: Experience with the modified Delorme's procedure

2019 ◽  
Vol 54 (4) ◽  
pp. 857-861 ◽  
Author(s):  
Luis De la Torre ◽  
María Zornoza-Moreno ◽  
Kimberly Cogley ◽  
Juan L Calisto ◽  
Lea A Wehrli ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

scholarly journals Delorme's Procedure for Full-Thickness Rectal Prolapse - Our experience in Bangabandhu Sheikh Mujib Medical University

2019 ◽  
Vol 19 (1) ◽  
pp. 21-24
Author(s):  
Md Rashidul Lslam ◽  
Md Shahadot Hossain Sheikh ◽  
Md Abu Taher ◽  
Shima Akter Khatun ◽  
Md Ahsan Habib ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Effective Treatment ◽  
Full Thickness ◽  
Younger Patients ◽  
Frail Patients ◽  
Study Results ◽  
Patient Reported ◽  
Delorme’S Procedure ◽  
Medical University ◽  
Delorme's Procedure

Background: The study was undertaken to validate the efficacy of Delorme's procedure as the treatment modality of choice for full-thickness rectal prolapse. Materials and Methods: In this study, results of Delorme's procedure for full-thickness rectal prolapse were assessed retrospectively. 14 patients with full-thickness rectal prolapse who were operated on with Delorme's procedure between January 2010 and October 2013 in the department of Colorectal surgery, Bangabandhu Sheikh Mujib Medical University were included in the study. Results: There were 8 males with mean age of 32.62 years (range 15-70) and 6 females with mean age of 26 years (range 12-70 ).The mean operative time was 65±4.5 minutes (range 60-90); there was no mortality and blood loss was minimal. Mean hospital stay was 3.5 days (2-6 days). Outcomes of the procedure were satisfactory and no patient reported recurrence of the disease in the follow up period.Delorme's procedure, especially in younger patients, is a relatively safe and effective treatment and should not be restricted to older frail patients. This procedure may not be suitable for recurrent cases Delorme's procedure, especially in younger patients, is a relatively safe and effective treatment and should not be restricted to older frail patients. This procedure may not be suitable for recurrent cases. Conclusion: Delorme's operation is a safe and effective treatment for complete rectal prolapse in patients of all age groups. Journal of Surgical Sciences (2015) Vol. 19 (1) : 21-24

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