✦ PERINEAL PROLAPSE SURGERY

Delorme Procedure

Q: Why was Delorme recommended for me?

Delorme is preferred for elderly or frail patients, those with significant co-morbidities, or when abdominal surgery is not advisable. It addresses the prolapse effectively while minimising surgical stress.

Q: Will my prolapse come back?

Recurrence rates after Delorme are slightly higher than abdominal rectopexy. Maintaining good bowel habits, avoiding straining, and pelvic floor exercises support long-term results.

Q: How is recovery after Delorme?

Most patients are discharged in 1–2 days, return to routine in a week, and resume normal activities within 3–4 weeks. The absence of abdominal surgery makes recovery much easier.

Q: Is Delorme suitable for big prolapses?

Delorme works best for shorter-segment prolapses. For longer prolapses, an Altemeier perineal proctosigmoidectomy or abdominal rectopexy may be more suitable.

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.

60–90 min PROCEDURE

1–2 Days HOSPITAL STAY

>80% SUCCESS RATE

1 Week RETURN TO ROUTINE

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.

Suitable for patients with full-thickness rectal prolapse who are elderly, medically frail, or those in whom abdominal surgery is not advisable due to co-morbidities.

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

60–90 minDURATION

1–2 DaysHOSPITAL STAY

>80%SUCCESS RATE

3–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→No abdominal incisions — performed entirely from below
→Excellent option for elderly or frail patients
→Avoids general anaesthesia in many cases
→Quick recovery with short hospital stay
→Effective for shorter-segment prolapses
→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

Common Questions

Frequently Asked Questions

Why was Delorme recommended for me?+

Will my prolapse come back?+

How is recovery after Delorme?+

Is Delorme suitable for big prolapses?+

Not sure which treatment is right for you?

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