Luis De la Torre1, María Zornoza-Moreno2, Kimberly Cogley3, Juan L Calisto4, Lea A Wehrli5, Alejandro Ruiz-Montañez6, Karla Santos-Jasso7. 1. Colorectal and Hirschsprung Center for Children at Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, University of Pittsburgh, School of Medicine, Pittsburgh, USA. Electronic address: luis.delatorre@chp.edu. 2. Centro Colorrectal para Niños de México y Latinoamérica, Hospital Angeles Puebla, Puebla, Mexico.. Electronic address: mariazornoza@gmail.com. 3. Colorectal and Hirschsprung Center for Children at Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, University of Pittsburgh, School of Medicine, Pittsburgh, USA. Electronic address: kimberly.Cogley@chp.edu. 4. Colorectal and Hirschsprung Center for Children at Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, University of Pittsburgh, School of Medicine, Pittsburgh, USA. Electronic address: juan.calisto@mch.com. 5. Colorectal and Hirschsprung Center for Children at Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, University of Pittsburgh, School of Medicine, Pittsburgh, USA. Electronic address: leaawehrli@gmail.com. 6. Centro Colorrectal para Niños de México y Latinoamérica, Hospital Angeles Puebla, Puebla, Mexico.. Electronic address: cirugiapediatrica@msn.com. 7. Department of Pediatric Surgery, Instituto Nacional de Pediatría, Ciudad de México, Mexico.. Electronic address: santosjasso@hotmail.com.
Abstract
BACKGROUND: Persistent or recurrent idiopathic rectal prolapse in children requires surgical intervention. Several techniques have been used to repair this problem. However, recurrence and complications continue to be a challenge in the management of this condition. Here we report our experience in using the modified Delorme's procedure to treat such patients. METHODS: We conducted a retrospective observational study of patients with idiopathic rectal prolapse who underwent the modified Delorme's procedure during 2013-2017. We analyzed the clinical characteristics of the patients and the recurrence and complication rates during a follow-up of 15-68 months. RESULTS: We included 14 patients. The age at operation ranged from 2 to 17 years, and the length of the prolapse was 3-15 cm. There were no intraoperative or postoperative complications. All patients achieved postoperative fecal control, and there were no recurrences. CONCLUSION: The modified Delorme's procedure was effective for the treatment of idiopathic rectal prolapse. There were no recurrences or complications. Because it is a perineal technique, the procedure avoids the risk of nerve injury that exists for transabdominal methods.
BACKGROUND: Persistent or recurrent idiopathic rectal prolapse in children requires surgical intervention. Several techniques have been used to repair this problem. However, recurrence and complications continue to be a challenge in the management of this condition. Here we report our experience in using the modified Delorme's procedure to treat such patients. METHODS: We conducted a retrospective observational study of patients with idiopathic rectal prolapse who underwent the modified Delorme's procedure during 2013-2017. We analyzed the clinical characteristics of the patients and the recurrence and complication rates during a follow-up of 15-68 months. RESULTS: We included 14 patients. The age at operation ranged from 2 to 17 years, and the length of the prolapse was 3-15 cm. There were no intraoperative or postoperative complications. All patients achieved postoperative fecal control, and there were no recurrences. CONCLUSION: The modified Delorme's procedure was effective for the treatment of idiopathic rectal prolapse. There were no recurrences or complications. Because it is a perineal technique, the procedure avoids the risk of nerve injury that exists for transabdominal methods.