These figures depict the Delorme procedure, a perineal approach for repair of rectal procidentia. The procedure is performed by dissecting within the submucosal layer of the rectal prolapse. Figure A: Injection of a dilute saline-epinephrine solution in the submucosa. Figure B: Mucosa is incised using electrocautery. Figure C: Circumferential stripping of the mucosa. Figure D: Plicating sutures placed in the seromuscular layer of the rectum. Rectal mucosa is excised. Figure E: Plication of the seromuscular layer. Figure F: Completed anastomosis just proximal to the dentate line.
