Delorme’s procedure in rectal prolapse - general and visceral surgery

You have not purchased a license - paywall is active: to the product selection
  • Diagnostic assessment; dissecting an anterior mucosal flap


    With the patient in lithotomy position, perform a digital rectal examination followed by slow and careful dilation of the anal sphincter. Insert the Parks retractor

    Injection into the anterior rectal mucosa, horizontal mucosal incision 5-8 mm proximal to the dentate line and careful excision of a longitudinally ovoid mucosal flap of up to 10 x 8 cm in size in cranial direction with diathermy while sparing the underlying muscle coat. Carry out the dissection in semicircular fashion, from 9 o'clock to 3 o'clock horizontally and vertically along the entire length of the rectocele.

  • Plicating the muscle coat

    Paid content (video)

    Gradually plicate the anterior rectal wall in the vertical direction with several absorbable sutures (size 0). This usually requires 5 - 8 stitches. The muscularis mucosae may be concertinaed or fixed in three layers.

  • Resecting the mucosa

    Paid content (video)
    Paid content (image)

    Resect the excess mucosa and then adapt the mucosal margins.

  • Suturing the mucosa

    Paid content (video)
    Paid content (image)

    Adapt the mucosa with several interrupted sutures.

  • Pre- and postoperative finding

    Paid content (image)

    The preoperative rectocele has been resolved almost completely, with the anterior rectal wall clearly stabilized.

date of publication: 05.07.2014

webop-Account Single

full access to all lectures
price per month

for the modul: vascular surgery

from 8,17 €

hospitals & libraries

for the modul: vascular surgery

from 390,00 euros