{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T11:06:15Z","timestamp":1692702375906},"reference-count":22,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surgery Research and Practice"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. 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\u2019s procedure.<jats:italic>Patients and Methods<\/jats:italic>. The study involved adult patients with rectal prolapse treated with Delorme\u2019s 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.<jats:italic>Results<\/jats:italic>. A total of 42 patients, where 71.4% (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">30<\/mml:mn><\/mml:math>) were women, with a median age of 76 years (IQR 66 to 86), underwent Delorme\u2019s 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,<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.006<\/mml:mn><\/mml:math>).<jats:italic>Conclusions<\/jats:italic>. Delorme\u2019s 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.<\/jats:p>","DOI":"10.1155\/2015\/920154","type":"journal-article","created":{"date-parts":[[2015,12,10]],"date-time":"2015-12-10T21:03:11Z","timestamp":1449781391000},"page":"1-6","source":"Crossref","is-referenced-by-count":6,"title":["Delorme\u2019s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term"],"prefix":"10.1155","volume":"2015","author":[{"given":"Carlos","family":"Placer","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Division of General and Gastrointestinal Surgery, Donostia University Hospital, 20014 San Sebasti\u00e1n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose M.","family":"Enriquez-Navascu\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Division of General and Gastrointestinal Surgery, Donostia University Hospital, 20014 San Sebasti\u00e1n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ander","family":"Timoteo","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Division of General and Gastrointestinal Surgery, Donostia University Hospital, 20014 San Sebasti\u00e1n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garazi","family":"Elorza","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Division of General and Gastrointestinal Surgery, Donostia University Hospital, 20014 San Sebasti\u00e1n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nerea","family":"Borda","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Division of General and Gastrointestinal Surgery, Donostia University Hospital, 20014 San Sebasti\u00e1n, 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