Delormes Operation

The Delorme's procedure involves the removal of the rectal mucosa up to the apex of the prolapse, associated with pleating of the muscular layer of the rectum and anastomosis of the mucosa to the anal canal. This operation has mostly been used to treat mucosal prolapse. Therefore, it is difficult to evaluate the true outcome of the Delorme's operation in the treatment of full-thickness rectal prolapse. Moreover, it has been associated with a very high recurrence rate varying from 17% to 37%. In addition, improvement in fecal incontinence has been marginal.1,2 We rarely recommend the Delorme's operation for the treatment of rectal prolapse, except in those few instances in which mucosal prolapse seems to be the main problem.

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