Delorme Procedure
Perineal procedure for rectal prolapse — the prolapsed mucosal lining is stripped, and the muscle layer is plicated and reinforced — performed entirely from below, ideal for elderly or frail patients.
What is Delorme Procedure?
The Delorme Procedure is a perineal (from below) operation for full-thickness rectal prolapse, performed entirely through the anus without any abdominal incisions. The prolapsed mucosal lining is stripped off, and the underlying muscle layer is plicated (folded) to shorten the prolapse and provide internal support. Because it avoids abdominal surgery, the Delorme procedure is particularly suitable for elderly or medically frail patients. Dr. Tejasree Vengala performs the Delorme procedure at Lux Hospitals, Hyderabad, with attention to gentle technique and quick recovery in this group of patients.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or general anaesthesia. The patient is positioned to allow access through the anus.
Mucosal Stripping
The prolapsed bowel is gently delivered through the anus. The mucosal lining is carefully stripped off down to the muscle layer.
Muscle Plication
The exposed muscle layer is folded (plicated) with absorbable sutures, shortening the prolapse and reinforcing the rectal wall.
Mucosal Reapproximation
The cut edges of the mucosa are sutured back together, restoring the natural lining of the rectum.
Recovery & Discharge
Patients are mobilised the same day, started on soft diet, and discharged in 1–2 days with structured follow-up.
Outcomes
Who Needs This Treatment?
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No abdominal incisions — performed entirely from below
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Excellent option for elderly or frail patients
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Avoids general anaesthesia in many cases
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Quick recovery with short hospital stay
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Effective for shorter-segment prolapses
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Low complication rate compared to abdominal surgery
Delorme is a wonderful operation for patients who cannot tolerate a big surgery — done entirely from below, gently, and effectively. For an elderly patient with prolapse, it can give back her dignity without putting her through a major operation.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Delorme Procedure Cost in Hyderabad
The cost of the Delorme procedure in Hyderabad depends on the type and extent of rectal prolapse, associated pelvic floor conditions, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring the Delorme procedure for suitable rectal prolapse, the approximate cost ranges between ₹80,000 and ₹1,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Delorme Procedure | ₹80,000 – ₹1,50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, extent of prolapse, surgical requirements, and whether any additional procedures are required.
Factors That Influence Delorme Procedure Cost
The overall cost may depend on:
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Type and severity of rectal prolapse: The extent of prolapse, pelvic floor function, bowel symptoms, and associated colorectal conditions may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, colonoscopy or other investigations, imaging when needed, and medical assessments before surgery may affect the overall cost.
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Procedure requirements: The complexity of the rectal mucosal resection and muscular plication may influence the surgical cost.
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Additional procedures: If pelvic floor procedures or other colorectal interventions are required along with the Delorme procedure, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, and follow-up requirements may influence the final estimate.
Is Delorme Procedure Covered by Insurance?
The Delorme procedure may be covered by health insurance when it is performed for a medically necessary rectal prolapse. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether the Delorme procedure is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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