{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:19:56Z","timestamp":1761157196998,"version":"3.37.3"},"reference-count":21,"publisher":"Korean Society of Coloproctology","issue":"4","license":[{"start":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T00:00:00Z","timestamp":1626134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["coloproctol.org"],"crossmark-restriction":true},"short-container-title":["Ann Coloproctol"],"published-print":{"date-parts":[[2022,8,31]]},"abstract":"<jats:p>Purpose: Risk factors for recurrence of rectal prolapse after surgery remain unclear. Delorme\u2019s procedure is often selected for relatively small-sized rectal prolapse, but there are few reports discussing the association between prolapsed rectum length and prolapse recurrence after Delorme\u2019s procedure. We hypothesized that patients with longer rectal prolapses are at a higher risk of recurrence after Delorme\u2019s procedure.Methods: The study population comprised patients with rectal prolapse who underwent Delorme\u2019s procedure between January 2014 and December 2019 at Tokyo Yamate Medical Center. We extracted data on patient age, sex, body mass index, previous history of anal surgery, previous history of surgery for rectal prolapse, and length of prolapse, to identify risk factors for prolapse recurrence.Results: Altogether, 96 patients were eligible for analysis. The median length of the prolapsed rectum was 3.0 cm (range, 1.0\u20136.6 cm). Twenty-four patients (25.0%) experienced recurrence after Delorme\u2019s procedure after a median of 7.5 months (interquartile range, 3.2\u201320.9 months). Multivariate analysis revealed that longer prolapsed rectum length increased the risk of recurrence after Delorme\u2019s procedure (hazard ratio, 6.28; 95% confidence interval, 1.83\u201321.50; P&lt;0.001).Conclusion: The length of the prolapsed rectum should be measured before Delorme\u2019s procedure for rectal prolapse, because length is associated with a risk of recurrence after the surgery.<\/jats:p>","DOI":"10.3393\/ac.2020.01032.0147","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T08:06:32Z","timestamp":1626163592000},"page":"314-318","update-policy":"https:\/\/doi.org\/10.3393\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Longer prolapsed rectum length increases recurrence risk after Delorme\u2019s procedure"],"prefix":"10.3393","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8128-5519","authenticated-orcid":true,"given":"Taro","family":"Tanabe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emi","family":"Yamaguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Nakada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Risa","family":"Nishio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kinya","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuo","family":"Yamana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1975","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01891.x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-013-2427-7"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/dcr.0b013e3181fb3de3"},{"key":"ref4","first-page":"155","volume-title":"DeloRes 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