[DUPLICADO]Delormés technique as an option for the treatment of the rectal prolapse recurrence: Case report [Técnica de delorme como opção para o tratamento da procidência retal recidivada: Relato de caso]

Abstract

The rectal prolapse is a protusion of all the layers of the rectum through the anus, characterizing a clinical picture of anal tumor, initially it results of great efforts with spontaneous reduction and subsequently it results of small efforts with difficult reduction. The incidence is bigger in women. The diagnosis is essentially clinical and the treatment is surgical. Case Report: NM, 65 years, diabetic and hypertensive, subjected to sacropromontoryfixation associated to Moscowicz's technique with recurrence after one month, so the technique of Delorme was used successfully. Discussion: the abdominal procedures are indicated for patients with less surgical risk due to its bigger complexity and smaller tax of recurrence. Among the perineal proceedings perineais, the technique of Delorme has simpler execution, however with a bigger rate of recurrence. The technique of Delorme has a smaller rate of mortality and it was the best conduct for this patient.