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Anterior Delormes


Anterior Delormes is the name of an operation that is performed to correct a rectocoele (the bulge between the bowel and the vagina). “Anterior” means ‘front’ (the region between the bowel and the vagina).

WHAT DOES THE OPERATION INVOLVE?

An Anterior Delormes is usually performed under a general anaesthetic. All the surgery is done through the anus and therefore there are no stitches or scars on the outside.

The operation takes about an hour. The floppy inner lining of the bowel is stripped off and the bulging muscle wall is reinforced (plicated or buttressed) with multiple tiny sutures to strengthen the wall between bowel and vagina.

WHAT IS THE RECOVERY LIKE AFTER SURGERY?

You will usually be able to leave hospital either the same day or the following day after surgery. You will be discharged on a course of laxatives (usually Movicol). It is important you do not get constipated as straining may damage the repair. It is also best to avoid heavy lifting or strenuous exercise (jumping/squatting/weight lifting) for 6 weeks.

Sometimes your surgeon will recommend that you take a course of antibiotics.

You can shower and bathe as normal after the operation. You may be fit to drive after 1- 2 weeks and usually fit to return to work after 2-4 weeks.

WHAT ARE THE RESULTS LIKE?

It will take time for your bowel function to settle down into a regular pattern after surgery. This often takes 6-8 weeks, sometimes longer. Around three quarters of patients will find that their symptoms improve. Less then 5% of patients report worsening of symptoms after this surgery.

WHAT ARE THE RISKS?

There is a small risk of bleeding after surgery. Minor bleeding is sometimes seen 4-8 after surgery when the stitches start to dissolve.

The main problem with this operation is infection. Because the wound lies within the bowel, it is impossible to keep this area clean, so wound infections are very common. This may cause discomfort and can result in a discharge through the back passage. Extending or restarting your course of antibiotics might be necessary.

Because the procedure is performed through the anus, there is a theoretical risk of damage to the anal sphincter muscles. The development of new, safer equipment means that this risk is minimal. If your surgeon thinks your sphincter muscle is already too weak, he or she will discuss alternative options with you.

Your surgeon will discuss the risks of surgery with you prior to the procedure.


Please be advised that the information on this website is not a substitute for professional medical advice, diagnosis or treatment