Delorme procedure for rectal procidentia

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.