Retrospective Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2016; 8(7): 508-512
Published online Jul 27, 2016. doi: 10.4240/wjgs.v8.i7.508
What operation for recurrent rectal prolapse after previous Delorme’s procedure? A practical reality
Muhammad A Javed, Faryal G Afridi, Dmitri Y Artioukh
Muhammad A Javed, Faryal G Afridi, Dmitri Y Artioukh, Southport and Ormskirk Hospital, Southport, Merseyside PR8 6PN, United Kingdom
Muhammad A Javed, Faryal G Afridi, Dmitri Y Artioukh, Renacres Hospital, Halsall, Nr Ormskirk, Lancashire L39 8SE, United Kingdom
Author contributions: Javed MA carried out the acquisition, analysis and interpretation of data and writing the manuscript; Afridi FG contributed to the initial acquisition and analysis of data; Artioukh DY carried out treatment of all patients, study conception and design, acquisition and interpretation of data, editing and final approval of the manuscript.
Institutional review board statement: This retrospective study was using previously collected hospital and operative data and did not require Ethics Committee approval.
Informed consent statement: The study did not require a specific consent apart from informed written consent obtained from each patient at the time of procedure.
Conflict-of-interest statement: There are no conflicts of interest.
Data sharing statement: The original anonymous dataset is available from the corresponding author at dmitri.artioukh@nhs.net. No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Mr Dmitri Y Artioukh, FRCS(Ed), MMedSci, FRCS(Gen Surg), Consultant Surgeon, Southport and Ormskirk Hospital, Town Lane, Southport, Merseyside PR8 6PN, United Kingdom. dmitri.artioukh@nhs.net
Telephone: +44-1704-704253 Fax: +44-1704-704518
Received: January 25, 2016
Peer-review started: January 25, 2016
First decision: March 25, 2016
Revised: April 9, 2016
Accepted: April 21, 2016
Article in press: April 22, 2016
Published online: July 27, 2016
Core Tip

Core tip: Delorme’s procedure is an attractive and often the only treatment of rectal prolapse available to elderly individuals who often have no physiological reserves to withstand abdominal rectopexy. The management of the recurrent disease is frequently restricted to the perineal approach by the same patient-related factors that limited the choice of the initial operation. Early recurrence developing within days or weeks is difficult to treat and in sufficiently fit patients may require abdominal rectopexy combined with faecal diversion.