scholarly journals Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Carlos Placer ◽  
Jose M. Enriquez-Navascués ◽  
Ander Timoteo ◽  
Garazi Elorza ◽  
Nerea Borda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Prolapse ◽  
Recurrence Rate ◽  
Complete Rectal Prolapse ◽  
Kaplan Meier ◽  
Delorme’S Procedure ◽  
Recurrence Patterns ◽  
Delorme's Procedure

Introduction. The objective of this study was to determine the recurrence rate and associated risk factors of full-thickness rectal prolapse in the long term after Delorme’s procedure.Patients and Methods. The study involved adult patients with rectal prolapse treated with Delorme’s surgery between 2000 and 2012 and followed up prospectively in an outpatient unit. We assessed epidemiological data, Wexner constipation and incontinence score, recurrence patterns, and risk factors. Data were analyzed by univariate and multivariate studies and follow-up was performed according to Kaplan-Meier technique. The primary outcome was recurrence.Results. A total of 42 patients, where 71.4% (n=30) were women, with a median age of 76 years (IQR 66 to 86), underwent Delorme’s surgery. The median follow-up was 85 months (IQR 28 to 132). There was no mortality, and morbidity was 9.5%. Recurrence occurred in five patients (12%) within 14 months after surgery. Actuarial recurrence at five years was 9.9%. According to the univariate analysis, constipation and concomitant pelvic floor repair were the only factors found to be associated with recurrence. Multivariate analysis showed no statistically significant differences among variables studied. Kaplan-Meier estimate revealed that constipation was associated with a higher risk of recurrence (log-rank test,p=0.006).Conclusions. Delorme’s procedure is a safe technique with an actuarial recurrence at five years of 9.9%. The outcomes obtained in this study support the performance of concomitant postanal repair and levatorplasty to reduce recurrences. Also, severe constipation is associated with a higher recurrence rate.

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

2016 ◽  
Vol 10 (2) ◽  
pp. 55-58
Author(s):  
Tariq Akhtar Khan ◽  
Md Shahadot Hossain Sheikh ◽  
Md Abu Taher ◽  
Md Rayhanur Rahman ◽  
Md Rashidul Islam ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Operative Time ◽  
Complete Rectal Prolapse ◽  
Full Thickness ◽  
Patient Reported ◽  
Delorme’S Procedure ◽  
The Mean ◽  
Medical University ◽  
Delorme's Procedure

The study was undertaken to determine the efficacy and safety profile of Delorme's procedure as the treatment for full-thickness rectal prolapse. In this study, outcome of Delorme's procedure for full-thickness rectal prolapse were assessed retrospectively. All the patients who underwent this surgery (22 patients) from July, 2013 to June, 2015 were included in the study. There were 18 males and 4 females with mean age of 37.4 years (range 12-70). The mean operative time was 92.6 minutes (Range 60-180 minutes). 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 within the follow up period. Delorme's operation is safe and effective treatment for complete rectal prolapse in patients of all age and sex.Faridpur Med. Coll. J. Jul 2015;10(2): 55-58

Long-Term Results of Delorme's Procedure and Orr-Loygue Rectopexy to Treat Complete Rectal Prolapse

2005 ◽  
Vol 48 (9) ◽  
pp. 1785-1790 ◽  
Author(s):  
Frédéric Marchal ◽  
Laurent Bresler ◽  
Ahmet Ayav ◽  
Rasa Zarnegar ◽  
Laurent Brunaud ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Long Term Results ◽  
Complete Rectal Prolapse ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

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

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 Survivorship and Patient-Reported Outcomes After Comprehensive Arthroscopic Management of Glenohumeral Osteoarthritis: Minimum 10-Year Follow-up

2021 ◽  
Vol 9 (7_suppl4) ◽  
pp. 2325967121S0021
Author(s):  
Justin Arner ◽  
Bryant Elrick ◽  
Philip Nolte ◽  
Marilee Horan ◽  
Peter Millett ◽  
...  
Keyword(s):  
Risk Factors ◽  
Shoulder Arthroplasty ◽  
Patient Reported Outcomes ◽  
Total Shoulder Arthroplasty ◽  
Arthroscopic Management ◽  
Kaplan Meier ◽  
Patient Reported ◽  
Glenohumeral Osteoarthritis

Objectives: Glenohumeral osteoarthritis (GHOA) remains a common cause of shoulder pain, loss of shoulder range of motion, and upper extremity dysfunction. Few long-term outcome studies exist evaluating glenohumeral osteoarthritis (GHOA) treatment with arthroscopic management. The purpose of this study was to determine outcomes, risk factors for failure, and survivorship for the comprehensive arthroscopic management (CAM) procedure for the treatment of GHOA at minimum 10-year follow-up. It was hypothesized that while some patients would progress to total shoulder arthroplasty (TSA), the majority of patients would demonstrate sustained improvement in patient-reported outcomes and satisfaction without conversion to TSA at long term follow-up. Methods: The CAM procedure was performed on a consecutive series of patients with advanced GHOA who opted for joint preservation surgery that otherwise met criteria for total shoulder arthroplasty (TSA). At minimum 10-year follow-up, pre- and post-operative outcome measures collected included the American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation (SANE), Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), Short Form–12 (SF-12) Physical Component Summary (PCS), visual analog scale for pain, and satisfaction scores. Kaplan-Meier survivorship analysis was performed with failure defined as progression to arthroplasty. Results: Thirty-eight CAM procedures were performed with 10-year minimum follow-up (range, 10-14 years) with a mean age of 53 years (range, 27-68) at time of surgery. Kaplan Meier survivorship curve showing 75.3% CAM survivorship (Comprehensive Arthroscopic Management) for glenohumeral arthritis at 5 years and 63.2% at 10 years in Figure 1. Those who progressed to arthroplasty did so at a mean of 4.7 years (range, 0.8-9.6 years). For those who did not undergo arthroplasty, ASES scores significantly improved post-operatively at both 5 and 10 years (63.3-89.6, p<0.001; 63.3-80.6, p=.007) (Table 1). CAM failure was associated with severe pre-operative humeral head incongruity in 93.8% of failures compared to 50.0.% of patients who did not go onto arthroplasty (p= 0.008). Median satisfaction was 7.5 out of 10. Conclusions: Significant improvement in patient reported outcomes were sustained at minimum 10-year follow-up in young patients with GHOA who underwent a CAM procedure. Survivorship rate at minimum 10-year follow-up was 63.2%. Humeral head flattening and severe joint incongruity were risk factors for CAM failure. The CAM procedure is an effective joint preserving treatment for GHOA in appropriately selected patients with sustained positive outcomes at 10 years. [Table: see text]

scholarly journals Four Patients with Complete Rectal Prolapse Treated by Delorme's Procedure.

1997 ◽  
Vol 50 (3) ◽  
pp. 204-208 ◽  
Author(s):  
A. Tsunoda ◽  
M. Shibusawa ◽  
H. Choh ◽  
R. Zhang ◽  
M. Kusano ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

scholarly journals Delorme's Procedure for Complete Rectal Prolapse: Does It Still Have It's Own Role?

2012 ◽  
Vol 28 (1) ◽  
pp. 13 ◽  
Author(s):  
Sooho Lee ◽  
Bong-Hyeon Kye ◽  
Hyung-Jin Kim ◽  
Hyeon-Min Cho ◽  
Jun-Gi Kim
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

Outcomes and risk factors for failure after trabeculectomy in Taiwanese patients: medical chart reviews from 2006 to 2017

2020 ◽  
pp. bjophthalmol-2020-317303
Author(s):  
Hsun-I Chiu ◽  
Huan-I Su ◽  
Yu-Chieh Ko ◽  
Catherine Jui-Ling Liu
Keyword(s):  
Risk Factors ◽  
Visual Acuity ◽  
Medical Records ◽  
Success Rates ◽  
Long Term Outcomes ◽  
Kaplan Meier ◽  
Chinese Ethnicity ◽  
Preoperative Visual Acuity

AimsTo determine long-term outcomes and risk factors for failure after mitomycin C (MMC)-augmented initial trabeculectomy (IT) in Taiwanese patients.MethodsWe reviewed medical records of patients with glaucoma undergoing IT during December 2006–December 2016. We defined complete success as an intraocular pressure (IOP) of >5 or ≤21 mm Hg or IOP reduction of ≥20% from baseline without supplemental medications and qualified success as the aforementioned IOP levels with or without supplemental medications. Kaplan-Meier survival and Cox proportional analyses evaluated success rates and risk factors for failure, respectively.ResultsWe enrolled 190 patients (237 eyes; mean age: 54.0±15.3 years; mean postoperative follow-up period: 68.4±35.1 months). Mean IOP and glaucoma medications decreased from 22.2±10.8 to 14.4±5.2 mm Hg (p<0.001) and 3.0±0.7 to 1.8±1.2 (p=0.015), respectively, at the last visit. Cumulative qualified success rates were 93.9%, 93.0%, 86.5% and 67.1% at the 1, 2, 5 and 10 years follow-up, respectively; however, only 7.7% of the eyes reached complete success at the last visit. Eyes with poor preoperative visual acuity were associated with low qualified success rates (HR=1.689, p=0.027); patients aged >70 years had higher complete success rates than did those aged ≤70 years. Five cases (2.11%) exhibited bleb-associated complications.ConclusionDespite satisfactory long-term success rates, most eyes needed medication for IOP control, supporting the notion of predisposed scarring vitality in patients of Chinese ethnicity following MMC-augmented trabeculectomy.

scholarly journals Recurrence rate after Delorme’s procedure with simultaneous placement of a Thiersch suture

2016 ◽  
Vol 98 (6) ◽  
pp. 419-421 ◽  
Author(s):  
AM Warwick ◽  
E Zimmermann ◽  
PA Boorman ◽  
NJ Smart ◽  
AS Gee
Keyword(s):  
Rectal Prolapse ◽  
Recurrence Rate ◽  
Elderly Women ◽  
Postoperative Bleeding ◽  
Optimal Operation ◽  
Retrospective Case ◽  
Abdominal Approach ◽  
Time To Recurrence ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

Introduction Rectal prolapse is a debilitating condition usually affecting elderly women. The management is generally surgical but the optimal operation remains unclear. The recurrence rate after Delorme’s procedure has been found to be similar to that for an abdominal approach. Thiersch sutures have been associated with high rates of complications and recurrence. The aim of this study was to compare the outcomes of Delorme’s procedure with those of a combined Delorme–Thiersch procedure. Methods A retrospective case note review was performed of all patients who underwent Delorme’s procedure for rectal prolapse between 2008 and 2014 in a single centre. Results Sixty-seven patients (63 women) underwent Delorme’s procedure during the study period. The majority (85%) of patients were over 75 years old. Twelve patients had a Thiersch suture placed at the time of the procedure. The median length of stay was 3 days (range: 0–19 days). Postoperative bleeding requiring either transfusion or readmission occurred in five patients (7.5%) and two patients (3.0%) were readmitted with pain. There was no difference in the rate of complications regardless of whether a Thiersch suture had been placed. Recurrence occurred in 8.3% of those who had a Thiersch suture compared with 21.8% of those who did not (p=0.26). There was no difference in the median time to recurrence between the groups. Conclusions There was no increase in complications after placement of a Thiersch suture with Delorme’s procedure. The rate of recurrence could potentially be decreased with this combined technique. Additional studies are required to investigate this further.

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