Recurrence rate after Delorme's procedure with simultaneous placement of a Thiersch suture.

2.50
Hdl Handle:
http://hdl.handle.net/11287/606575
Title:
Recurrence rate after Delorme's procedure with simultaneous placement of a Thiersch suture.
Authors:
Warwick, Andrea; Zimmermann, Eleanor F.; Boorman, Patrica A.; Smart, Neil J. ( 0000-0002-3043-8324 ) ; Gee, Andrew
Abstract:
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.
Citation:
Recurrence rate after Delorme's procedure with simultaneous placement of a Thiersch suture. 2016 Jul; 98(6): 419–421
Publisher:
Royal College of Surgeons
Journal:
Annals of the Royal College of Surgeons of England
Issue Date:
19-Apr-2016
URI:
http://hdl.handle.net/11287/606575
DOI:
10.1308/rcsann.2016.0148
PubMed ID:
27092405
Additional Links:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5209973/
Note:
This article is freely available via PubMed Central. Click on the Additional Link above to access it.
Type:
Journal Article
Language:
en
ISSN:
1478-7083
Appears in Collections:
Colorectal Surgery; HeSRU publications; 2016 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorWarwick, Andreaen
dc.contributor.authorZimmermann, Eleanor F.en
dc.contributor.authorBoorman, Patrica A.en
dc.contributor.authorSmart, Neil J.en
dc.contributor.authorGee, Andrewen
dc.date.accessioned2016-04-22T10:29:56Zen
dc.date.available2016-04-22T10:29:56Zen
dc.date.issued2016-04-19en
dc.identifier.citationRecurrence rate after Delorme's procedure with simultaneous placement of a Thiersch suture. 2016 Jul; 98(6): 419–421en
dc.identifier.issn1478-7083en
dc.identifier.pmid27092405en
dc.identifier.doi10.1308/rcsann.2016.0148en
dc.identifier.urihttp://hdl.handle.net/11287/606575en
dc.description.abstractIntroduction 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.en
dc.languageENGen
dc.language.isoenen
dc.publisherRoyal College of Surgeonsen
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5209973/en
dc.rightsArchived with thanks to Annals of the Royal College of Surgeons of Englanden
dc.subjectWessex Classification Subject Headings::Gastroenterologyen
dc.titleRecurrence rate after Delorme's procedure with simultaneous placement of a Thiersch suture.en
dc.typeJournal Articleen
dc.identifier.journalAnnals of the Royal College of Surgeons of Englanden
dc.description.noteThis article is freely available via PubMed Central. Click on the Additional Link above to access it.en
dc.type.versionIn press (epub ahead of print)en

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