{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T13:45:17Z","timestamp":1694267117734},"reference-count":23,"publisher":"Royal College of Surgeons of England","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> 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\u2019s 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\u2019s procedure with those of a combined Delorme\u2013Thiersch procedure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> A retrospective case note review was performed of all patients who underwent Delorme\u2019s procedure for rectal prolapse between 2008 and 2014 in a single centre. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Sixty-seven patients (63 women) underwent Delorme\u2019s 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\u201319 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. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> There was no increase in complications after placement of a Thiersch suture with Delorme\u2019s procedure. The rate of recurrence could potentially be decreased with this combined technique. Additional studies are required to investigate this further. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2016.0148","type":"journal-article","created":{"date-parts":[[2016,4,19]],"date-time":"2016-04-19T12:58:35Z","timestamp":1461070715000},"page":"419-421","source":"Crossref","is-referenced-by-count":5,"title":["Recurrence rate after Delorme\u2019s procedure with simultaneous placement of a Thiersch suture"],"prefix":"10.1308","volume":"98","author":[{"given":"AM","family":"Warwick","sequence":"first","affiliation":[{"name":"Royal Devon and Exeter NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"Royal Devon and Exeter NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PA","family":"Boorman","sequence":"additional","affiliation":[{"name":"Royal Devon and Exeter NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NJ","family":"Smart","sequence":"additional","affiliation":[{"name":"Royal Devon and Exeter NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AS","family":"Gee","sequence":"additional","affiliation":[{"name":"Royal Devon and Exeter NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1177\/145749690509400306"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1272822"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(05)70532-6"},{"key":"bib4","first-page":"CD001758","author":"Tou S","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12177"},{"key":"bib6","first-page":"273","volume":"70","author":"Murphy PB","year":"2015","journal-title":"Minerva Chir"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12164"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-015-1291-8"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-005-0088-7"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.11.012"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-011-0395-2"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1007\/BF02562653"},{"key":"bib13","first-page":"467","volume":"41","author":"Gabriel WB","year":"1948","journal-title":"Proc R Soc Med"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1093\/gastro\/gou012"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000338"},{"key":"bib16","first-page":"140","volume":"41","author":"Dietzen CD","year":"1989","journal-title":"Neth J Surg"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1007\/BF02066977"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2092(08)70286-2"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)44685-2"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-010-0165-6"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1007\/s003840050165"},{"key":"bib22","first-page":"S86","volume":"20","author":"Yoon SG","year":"2004","journal-title":"J Korean Soc Coloproctol"},{"key":"bib23","first-page":"S147","volume":"23","author":"Yoon SG","year":"2007","journal-title":"J Korean Soc Coloproctol"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2016.0148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:17:21Z","timestamp":1684145841000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2016.0148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1308\/rcsann.2016.0148"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2016.0148","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}