The aim of this study is to evaluate the role of associated levatorplasty in Delorme and Altemeier procedures. Between 1994 and 2004 we treated 44 patients with a perineal procedure (mean age 76). The surgical procedure was performed in 21 cases with the Delorme technique (in 11 with associated levatorplasty), while in 23 using Altemeier technique (in 18 with levatorplasty). Mean hospital stay was 7 days with a morbidity of 18% and mortality of 2%. Levatorplasty group had no significant difference in length of hospital stay and morbidity. At a mean follow-up of 38 months, recurrence rate was 10.3% and 40% in pts with or without levatorplasty respectively. Associated levatorplasty permits a significant lower recurrence rate and should be offered to patients when perineal approach for rectal prolapse is selected.
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机译:本研究的目的是评估相关的leversprasty在Delorme和Attemeier程序中的作用。在1994年至2004年期间,我们治疗了44名患有会阴程序的患者(平均年龄76)。在21例中进行外科手术,患有Delorme技术(11个相关的测痘术),而在23中使用过渗透技术(18名带有Leverspreasty)。平均医院住宿7天,发病率为18%,死亡率为2%。 Levatorpleasty Group Heady住院和发病率的长度没有显着差异。在38个月的平均随访时间内,分别有或没有测痘术的分别为10.3%和40%。相关的测痘术允许显着的较低复发率,并且应在选择直肠脱垂的接受方法时向患者提供。
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