Delorme's Procedure for Rectal Prolapse

概要

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Rectal prolapse occurs in people of all ages, from infants to the elderly. In today's aging society, the incidence of elderly-onset rectal prolapse has been increasing. Treatment of rectal prolapse is primarily surgical. Invasiveness and radicality of the surgical procedure, and quality of life after surgery should be considered in selecting an appropriate procedure. In Western countries, Delorme's method has been widely used as a minimally invasive surgical procedure. Nowadays, in several institutions in Japan, the Gant-Miwa procedure is being replaced by Delorme's procedure in the surgical management of rectal prolapse. The outcomes of Delorme's procedure are affected by the experience and skill of the surgeon. Since Delorme's procedure is performed via a perineal approach, it is less invasive and safer than abdominal procedures. Therefore, Delorme's procedure is used as the primary surgical treatment for rectal prolapse because of its safety and less invasiveness for patients in poor general condition. This article reviews the indications, procedures, and outcomes (complications and recurrence rates) of modified Delorme's procedure (Umegae method) for patients with rectal prolapse.