CLINICAL RESULTS OF DELORME'S AND ALTEMEIER'S PROCEDURES IN RECTAL PROLAPSE.

AIM OF STUDY: Rectal prolapse is a complex multifactorial pathology, accompanied by pronounced anatomical and functional disorders that significantly impair patients' quality of life. In surgical practice, the two most popular methods are the Delorme and Altemeier procedures, and the choice between them remains a matter of debate. The objective of the study was to identify risk factors, indications, and contraindications to both procedures and to analyze their short- and long-term results.

MATERIALS AND

METHODS

The study included 73 patients who had undergone Delorme's or Altemeier's procedure in 2011-2024, of whom 41 were observed prospectively. A comprehensive clinical and instrumental analysis was carried out, and functional results and the frequency of complications and recurrences were assessed.

RESULTS

The observed complications were predominantly moderate and amenable to conservative correction. The average recurrence rate was 12%, lower than most published data. The main risk factors included chronic constipation, sedentary lifestyle, non-compliance with the prescribed diet, and age over 60.

CONCLUSION

The functional results were satisfactory, with the improvement of fecal incontinence, the normalization of bowel movements, and the elimination of urological conditions. The study confirms the high effectiveness and safety of both methods, emphasizing the importance of proper preoperative risk stratification and comprehensive postoperative management in reducing the recurrence rate and improving patients' quality of life.