{"title":"Safety and efficacy of Modified Delorme's procedure for rectal prolapse.","authors":"Nandram Dhakariya, Bhupesh Kushram, Bharti Badlani, Anjulika Sachan, Abhay Kumar","doi":"10.6026/973206300211585","DOIUrl":null,"url":null,"abstract":"<p><p>Modified Delorme's Procedure is a safe and effective perineal approach to treat complete rectal prolapse, especially in the elderly and high-risk patients unfit for trans-abdominal surgery. Hence, a total of 65 patients (mean age 62.3 years; female: male ratio 6:1) underwent Modified Delorme's Procedure. The present prospective study of 65 patients with a mean age of 62.3 years, with a female to male ratio of 6:1, demonstrated a 92.3% success rate, with marked improvement in obstructed defecation and fecal continence on validated scales. Minimal postoperative complications included a recurrence rate of 7.7% and transient anal stenosis in 4.6%. The combination of mucosal stripping, muscular plication and adjunct postanal repair offers durable relief of symptoms with less morbidity than abdominal procedures.</p>","PeriodicalId":8962,"journal":{"name":"Bioinformation","volume":"21 6","pages":"1585-1588"},"PeriodicalIF":1.9000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449516/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bioinformation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6026/973206300211585","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Modified Delorme's Procedure is a safe and effective perineal approach to treat complete rectal prolapse, especially in the elderly and high-risk patients unfit for trans-abdominal surgery. Hence, a total of 65 patients (mean age 62.3 years; female: male ratio 6:1) underwent Modified Delorme's Procedure. The present prospective study of 65 patients with a mean age of 62.3 years, with a female to male ratio of 6:1, demonstrated a 92.3% success rate, with marked improvement in obstructed defecation and fecal continence on validated scales. Minimal postoperative complications included a recurrence rate of 7.7% and transient anal stenosis in 4.6%. The combination of mucosal stripping, muscular plication and adjunct postanal repair offers durable relief of symptoms with less morbidity than abdominal procedures.
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