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Closed rectosacropexy for rectal prolapse in children
Faculty
Medicine
Year:
2003
Type of Publication:
Article
Pages:
642-644
Authors:
Lasheen, AE
DOI:
10.1007/s00595-003-2548-9
Journal:
SURGERY TODAY SPRINGER-VERLAG
Volume:
33
Research Area:
Surgery
ISSN
ISI:000184714100019
Keywords :
rectosacropexy, rectum, prolapse
Abstract:
This report describes a simple, effective, and permanent surgical solution for persistent rectal prolapse (RP). The technique simply involves passing multiple U-shaped sutures through the stab incisions made in the skin posterior to the anus, into the sacral fascia, then into the wall of rectum, down to the anal canal, and out through the stab incisions. The strands of the suture are tied subcutaneously through the stab incisions. This operation was successfully performed in 42 children (mean age, 3.5 years) who had suffered from recurrent RP for 3-5 months. None of the children experienced any further recurrence or specific complications during follow-up ranging from 1 to 3 years. Thus, I believe that closed rectosacropexy offers a simple, minimally invasive, and effective method of treating complete RP in children.
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