Comparing perineal repairs for rectal prolapse: Delorme versus Altemeier

Techniques in Coloproctology
F ElagiliG Ozuner

Abstract

Data comparing surgical outcomes and quality of life (QOL) following perineal repair of rectal prolapse are limited. The aim of our study was to compare the short-term outcome and QOL of two perineal procedures in patients with rectal prolapse. All patients with full-thickness rectal prolapse admitted to our institution and undergoing Delorme and Altemeier procedures from 2005 to 2013 were identified using an institutional, IRB-approved rectal prolapse database. Short-term outcomes and QOL were compared. Seventy-five patients (93% female) underwent rectal prolapse surgery: 22 Altemeier and 53 Delorme, mean age 72 ± 15 years. Sixty-six percentage of patients were ASA grade III or IV (Table 1). The median hospital stay was longer in Altemeier’s group [4 (1–44) days vs. 3 (0–14) days; p = 0.01]. After a median follow-up of 13 (1–88) months, the rate of recurrent prolapse was 14% (n = 11) [Altemeier 2 (9%) vs. Delorme 9 (16%) p = 0.071]. Postoperative complication rate was 12% (n = 9) [Altemeier 5 (22%) vs. Delorme 4 (7%), p = 0.04]. There was no mortality. The Cleveland Global Quality of Life scores in each group were 0.6 ± 0.2 and 0.5 ± 0.3, respectively (p = 0.59), and were not changed by the surgery. In patients where abdominal...Continue Reading

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Citations

Jun 28, 2016·International Journal of Surgery·Lílian Vital PinheiroMaria de Lourdes Setsuko Ayrizono
Nov 4, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M MistrangeloR Perinotti
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Mar 5, 2018·International Journal of Colorectal Disease·A C RogersJ P Burke
Sep 17, 2019·Postgraduate Medicine·Angela LeeBrooke Gurland
Aug 4, 2020·Journal of the Anus, Rectum and Colon·Akira Tsunoda
Nov 12, 2018·Langenbeck's Archives of Surgery·Dagfinn GleditschArild Nesbakken
Apr 19, 2019·Clinical Case Reports·Nadim Malibary, Cecile Brigand
Jan 20, 2021·Diseases of the Colon and Rectum·Emmeline NugentMassarat Zutshi

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