Delorme's operation plus sphincteroplasty for complete rectal prolapse associated with traumatic XXXX .

@entity1 @entity2737 @entity86 @entity1241 @entity130
Rectal prolapse associated with traumatic @entity1241 is a rare clinical combination. This study was designed to assess Delorme's operation with sphincteroplasty as a surgical management of this combination in terms of recurrence and improvement of @entity1241 . In this prospective study, we enrolled @entity1 suffering from short, full-thickness rectal prolapse associated with traumatic @entity1241 who had been admitted to Alexandria Main University Hospital during the period of May 2010-January 2013. Preoperative data including cause of @entity130 , duration of symptoms, results of anal manometry, and degree of @entity1241 using Wexner score were collected from all @entity1 . Delorme's procedure with overlap sphincteroplasty was done in all @entity1 . Recurrence of prolapse and improvement of @entity1241 were assessed after 1, 3, 6 and 12 months. The study included 13 @entity1 aged (32  8.7) years, 9 females and 4 males. Cause of sphincteric injury included previous anal surgery in 7 @entity1 and normal labor in 6 @entity1 . Duration between sphincteric injury and operation was (8.08  2.47) months. Preoperative Wexner's mean score was 16.07  3.4. Early postoperative complications included @entity2737 (69.2%), minor wound dehiscence (61.5%), and @entity86 (7.6%). Recurrence was detected in 1 @entity1 at 6 month follow-up. Wexner's score showed significant improvement for all @entity1 after 6 months (4.00  2.04). In conclusion, combination of Delorme's procedure and sphincteroplasty for treatment of @entity1 with short complete rectal prolapse associated with traumatic @entity1241 is a safe, effective surgical management with satisfactory results regarding anatomical and functional outcomes.
