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Understanding Rectal Prolapse Delorme’s Procedure

The Rectal Prolapse Delorme’s procedure is a type of surgery to fix a full-thickness rectal prolapse. The prolapsed rectum’s inner lining is removed during this procedure, and the bare muscles are stitched together to make the wall fold like an accordion. After that, the inner lining is stitched back to close the connection. The modified Delorme procedure provides a long-lasting, safe, and effective treatment for complete rectal prolapse.

Full-thickness rectal prolapse is a painful condition that can greatly limit a person’s activities. Surgery is often the best way to fix it. Some people thought that perineal surgeries were not as good. They were usually only done on older or less healthy patients.

Delorme Rectal Prolapse Procedure Treats:

Check IconFull-thickness rectal prolapse
Check IconChronic rectal prolapse
Check IconRectal bleeding and discomfort
Check IconDifficulty with bowel movements
Check IconMucous discharge from the rectum
 

Understanding Rectal Prolapse Delorme’s Procedure

The Rectal Prolapse Delorme’s procedure is a type of surgery to fix a full-thickness rectal prolapse. The prolapsed rectum’s inner lining is removed during this procedure, and the bare muscles are stitched together to make the wall fold like an accordion. After that, the inner lining is stitched back to close the connection. The modified Delorme procedure provides a long-lasting, safe, and effective treatment for complete rectal prolapse.

Full-thickness rectal prolapse is a painful condition that can greatly limit a person’s activities. Surgery is often the best way to fix it. Some people thought that perineal surgeries were not as good. They were usually only done on older or less healthy patients.

Delorme Rectal Prolapse Procedure Treats:

Check IconFull-thickness rectal prolapse
Check IconChronic rectal prolapse
Check IconRectal bleeding and discomfort
Check IconDifficulty with bowel movements
Check IconMucous discharge from the rectum

How Does the Rectal Prolapse Delorme’s Procedure Work?

rectal

To fix a rectal prolapse, a surgery known as perineal repair delorme rectal prolapse can be done. It involves removing and stitching back together the lining or section of the bowel that has prolapsed. The procedure usually takes about one hour and is done using either a spinal or general anaesthetic. After the surgery, you may need to stay at the hospital for a couple of days to recover.

Before scheduling the surgery, you will have an appointment to ensure you are suitable for the surgery and anaesthesia. During this appointment, you will have a blood test, a urine test, and a swab for MRSA. Additionally, you will receive more details about the surgery and the guidelines for eating and drinking before the procedure.

The type of anaesthetic used during the surgery depends on your overall health, other medical conditions, or the medicines you take. If a spinal anaesthetic is used, you will be awake during the surgery but won’t feel anything. On the other hand, with a general anaesthetic, you will be asleep and won’t feel anything. The surgeon will repair the rectal prolapse by removing it and stitching the rectum back together. Since the repair is done within the anal canal, there won’t be any visible wounds.

Treatment At a Glance

Purpose

Purpose

Treat full-thickness rectal prolapse
Procedure Duration

Procedure Duration

60 minutes
Anaesthesia

Anaesthesia

Spinal or general anaesthetic

Purpose

Treat full-thickness rectal prolapse

Pain

Low to moderate

Procedure Duration

60 minutes

Recovery Time

4-6 weeks

Drive

After 2 weeks

Anaesthesia

Spinal or general anaesthetic

Recovery Time

Recovery Time

4-6 weeks
Pain

Pain

Low to moderate
Drive

Drive

After 2 weeks

Benefits of Rectal Prolapse Delorme’s Procedure

Improved Quality of Life

Addressing the prolapse results in an overall improvement in bowel function and comfort, enhancing daily life.

Minimally Invasive

This procedure involves minimal tissue removal, leading to shorter recovery times than more extensive surgeries.

Effective Symptom Relief

Delorme’s procedure provides significant relief from the discomfort, bleeding, and difficulty associated with rectal prolapse.

Low Recurrence Rate

Strengthening the rectal wall significantly reduces the likelihood of future prolapses, ensuring long-term relief.

Improved Anal Continence

By reinforcing the rectal wall, the procedure enhances anal continence, resulting in better control over bowel movements.

Low Surgical Risk and Morbidity

Delorme’s procedure is associated with low surgical risk and morbidity, making it a safe option for many patients.

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Rectal Prolapse Delorme’s Procedure Cost

Consultations start at £200. Please request a callback by filling out the contact form. We look forward to assisting you!

Why Choose Leicester Bowel Clinic?

At Leicester Bowel Clinic, we focus on bowel health and conditions, digestive issues, and cancer care. Our clinic offers minimally invasive procedures for bowel problems, ensuring effective results and patient comfort. We aim to provide personalised care for our patients and offer the latest treatments for hernias, bowel conditions and rectal disorders

Our Locations

Leicester Bowel Clinic at Spire Hospital

  • Wednesdays evenings (Mr Runau) from 6:00 pm until 9:00 pm at: Spire Leicester Hospital Gartree Road Leicester LE2 2FF
  • To arrange an appointment directly with the Spire Leicester Hospital, please call the booking line on 0116 2653685

*Free on-site parking is available.

Meet The Team

Sanjay Chaudhri

Mr Sanjay Chaudhri

Francois Runau

Mr Francois Runau

Pippa Powley

Pippa Powley

Rebecca West

Rebecca West

FAQs

Frequently Asked Questions about Rectal Prolapse Delorme’s Procedure

01. Is Delorme's procedure a major surgery?

Delorme’s procedure is relatively simple, has low surgical risk and does not require an abdominal incision.

02. What are the risks of Delorme's procedure?

Delorme’s procedure for rectal prolapse has a low rate of complications, but some possible complications include:
  1. Bleeding: Up to 5% of patients may experience more bleeding than usual, needing further treatment.
  2. Urinary retention: This is another common complication.
  3. Pain: Patients may experience significant pain after the procedure, which can be made worse by constipation. Painkillers and laxatives can help.
  4. Sutures separating: Sometimes, the stitches may separate, leaving an open wound, but healing will still occur.
  5. Faecal impaction: This can occur in up to 12% of patients.

03. What kind of anaesthesia is used for Delorme's procedure?

The operation will be carried out under a general anaesthetic (a state of carefully controlled unconsciousness) or spinal anaesthetic.

04. What is a Delorme perineal approach?

This procedure involves stripping the mucosa of the prolapsed rectum and suturing the bare muscle remnant, which collapses the wall like an accordion. After that, the mucosa is reapplied to seal the anastomosis.

05. Is Delorme's procedure painful?

Delorme’s procedure usually does not cause much pain afterwards. After the initial 24 hours, most patients will just require basic oral painkillers. Usually, a drip is left in place for a full day following surgery.

06. How safe is prolapse surgery?

Pelvic organ prolapse may recur after surgery. Following surgery, you can continue to experience symptoms if you have many prolapsed organs. Additional issues following surgery may include incontinence, pain during intercourse, and bladder damage.

07. What is the recovery time for prolapsed bowel surgery?

You should make a complete recovery in 4 to 6 weeks.

08. What to eat after prolapse surgery?

You can consume your regular diet. If you have an upset stomach, try mild, low-fat foods such as plain rice, grilled chicken, toast, and yoghurt. Stay hydrated and expect irregular bowel movements shortly after the surgery.
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