Title
Safety and efficacy of Modified Delorme’s procedure for rectal prolapse
Authors
Nandram Dhakariya1, Bhupesh Kushram1, Bharti Badlani2, Anjulika Sachan3,* & Abhay Kumar4
Affiliation
1Department of General Surgery, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India; 2Department of Ophthalmology, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India; 3Department of Physiology, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India; 4Department of ENT, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India; *Corresponding author
Nandram Dhakariya - E-mail: drnrdh@gmail.com; Phone: +91 9368823226
Bhupesh Kushram - E-mail: kushrsmbhupesh@gmail.com; Phone: +91
9981477452
Bharti Badlani - E-mail: drbhartisingh@rediffmail.com; Phone: +91
8989436926
Anjulika Sachan - E-mail: anjulika.sachan@gmail.com; Phone: +91
8871096584
Abhay Kumar - E-mail: abhaykr20@yahoo.co.in; Phone: +91 9411866460
Article Type
Research Article
Date
Received June 1, 2025; Revised June 30, 2025; Accepted June 30, 2025, Published June 30, 2025
Abstract
Modified Delorme's Procedure is a safe and effective perineal approach to treat complete rectal prolapse, especially in the elderly and high-risk patients unfit for trans-abdominal surgery. Hence, a total of 65 patients (mean age 62.3 years; female: male ratio 6:1) underwent Modified Delorme’s Procedure. The present prospective study of 65 patients with a mean age of 62.3 years, with a female to male ratio of 6:1, demonstrated a 92.3% success rate, with marked improvement in obstructed defecation and fecal continence on validated scales. Minimal postoperative complications included a recurrence rate of 7.7% and transient anal stenosis in 4.6%. The combination of mucosal stripping, muscular plication and adjunct postanal repair offers durable relief of symptoms with less morbidity than abdominal procedures.
Keywords
Rectal prolapse, modified Delorme’s procedure, perineal repair, anal continence, elderly, surgical outcomes
Citation
Dhakariya et al. Bioinformation 21(6): 1585-1588 (2025)
Edited by
A Prashanth
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
