What is the Delorme surgical procedure for the treatment of pediatric rectal prolapse?

Updated: Nov 12, 2018
  • Author: Jaime Shalkow, MD, FACS; Chief Editor: Carmen Cuffari, MD  more...
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Answer

The mucosa and part of the underlying rectal muscle are excised, and the rectum is then plicated with polydioxanone sutures towards the anal canal.

Long-term results are not satisfactory, with a recurrence rate of 17%. [61] This repair has been used in children with recurrent prolapse and has the advantage of not entering the abdomen. [92] The observation that recurrence and complication rates may be lower in younger and medically fit patients suggests that the Delorme repair does not necessarily have to be restricted specifically to older, medically unfit patients. [62]


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