Safety and efficacy of Modified Delorme's procedure for rectal prolapse.

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.