DELORMES PROCEDURE FOR INSUFFICIENCY OF T HE PELVIC FLOOR

Rehn-Delorme's procedure was introduced as one of a couple of methods to remove rectal prolapse with insufficiency of the pelvic floor. Rehn -Delorme's procedure wasn't well accepted until the last twenty years, when some authors reported good results with low recurrence rate of t he prolapse, especially for old people with high risk or otherwise unf it for abdominal surgical procedures. On the German Clinic for Diagnos tic during the years 1991-1994 in a therapeutical concept of the conjo int problems ''chronic constipation-rectal prolapse faecal incontinenc e'' 205 patients, aged 20 to 85 years, were operated on with that proc edure. In a retrospective study, evaluating 78 patients who underwent only that operation, we studied the change of faecal incontinence afte r removing the outlet obstructing mucosal prolapse. The mortality was zero, the total complication-rate was 15.1%, bleeding (2.9%), suture l ine disruption (7.3%), abscesses (1.5%) and stenosis (1%) acceptable. The Kirwan continence-score increased significantly. Three cases with normal continence before operation get worse because of removing the o bstructing mucosal wall.