Q1.Steps of Delorme operation are all except
a.circumferential stripping of rectal mucosa over the length
of the prolapse
b.removal of redundant underlying muscles
c.excision of excess mucosa
d.mucosal anastomosis
ANS1.b
The underlying muscle is plicated with a series of sutures
,so that the rectal muscle is concertinaed towards the anal canal .The
resulting effect is to reduce the prolapse as plicated ring of muscle above the
anal canal
Delorme operation may be preferred in patients with short segment full rectal prolapse
Q2.The procedure of choice in patients presenting with
incarcerated and strangulated rectal prolapse is
a.Delorme operation
b.Thiersch operation
c.Altemeier s procedure
d.LVMR
Q2.c
Altemeier procedure is a good alternative perineal procedure
to the Delorme operation ,particularly following recurrence .
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