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

Abstract

In this study, Orr-Loygue rectopexy had a lower long-term recurrence rate. However, this surgical procedure is associated with a higher complication rate. We believe that Delorme's procedure is still a valuable option in selected patients with postoperative minimal morbidity but higher recurrence rate.

Laparoscopic ventral rectopexy for obstructed defecation syndrome

“…Often in these cases a transabdominal procedure is inevitable. The decision of which kind of abdominal procedure would be preferable is not easy [5,6]. Several types of rectopexies have been described in literature: with or without resection and with or without the use of prosthetic material.…”

Focus on abdominal rectopexy for full-thickness rectal prolapse: meta-analysis of literature

“…Table 5 [41,[44][45][46][47][48][49][50][51][52][53][54][55] shows 13 studies published between 1999 and 2008 with more than 10 patients who underwent mesh rectopexy, with a followup longer than 16 months. The 13 studies contained a total of 607 patients; the largest was based on 109 patients, and the smallest on 14 patients.…”

Outcome analysis of elderly patients undergoing laparoscopic resection rectopexy for rectal prolapse

“…Generally, LRR is more invasive than perineal procedures, and most of the studies on perineal surgery claim a mortality rate of zero. Still, some studies report mortality rates between 1.2% and 7% for Delorme's procedure [20,21] and 5% for perineal rectosigmoidectomy (Altemeier's procedure) [22]. On the other hand, Wijffels et al [23] had a mortality rate of 0% in their series of octogenarians receiving laparoscopic rectopexy, albeit without resection.…”