Palma F
Rev Esp Enferm Apar Dig. 1989 Dec;76(6 Pt 1):585-8.
In five patients, three male and two female (average age 74 years), with complete rectal prolapse, Delorme's operation was performed, realizing resection of the entire prolapsed rectal mucosa and the suturing the plicature of the rectal muscular layer, which permits its invagination into the muscular funnel formed by the outer sphincter. This technique, which also tenses the longitudinal muscle of the rectum that is lax in every total prolapse, partially remedies the dislocation of the hiatal ligament and improves the function of the elevator muscle, which is disordered in these patients. The five patients were followed-up for 3 to 36 months. There was no postoperative morbi-mortality in patients of advanced age or high risk had to be operated for rectal prolapse.
对5例完全性直肠脱垂患者(3例男性,2例女性,平均年龄74岁)实施了德洛姆手术,即切除整个脱垂的直肠黏膜并缝合直肠肌层皱襞,使直肠能套入由外括约肌形成的肌性漏斗内。该技术还可拉紧在每次完全脱垂时松弛的直肠纵肌,部分纠正裂孔韧带的移位,改善这些患者中功能紊乱的提肌功能。对这5例患者进行了3至36个月的随访。老年或高危直肠脱垂患者术后无病亡情况。