Evaluation of laparoscopic suture rectopexy for the treatment of complete rectal prolapse in children. | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 4, October 2024, Pages 1506-1510 PDF (254.82 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EJSUR.2024.296019.1096 | ||
| Authors | ||
| Tamer Ali Sultan1; Ahmed Rabee Abd-Elbary1; Mohamed Rashwan Meselhy Shady* 2; Ahmed Mohamed Elzalabanya1 | ||
| 1Pediatric Surgery Unit, Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt | ||
| 2Department of Pediatric Surgery, Al Galaa Teaching Hospital, Egyptian Ministry of Health, Cairo, Egypt | ||
| Abstract | ||
| Background: Rectal prolapse is a common condition in children aged 1–3. Complete rectal prolapse affects the full thickness of the rectum and protrudes 5 cm or more, which is distinguished by circular mucosal folds. Aim: Evaluation of the effectiveness and safety of laparoscopic suture rectopexy for the treatment of complete rectal prolapse in children. Patients and Methods: This prospective study included 20 children with complete rectal prolapse who had laparoscopic suture rectopexy for the treatment of complete rectal prolapse in children at Menoufia University Hospital, Al Galaa Teaching Hospital, and Ministry of Health Hospitals during the period from January 2023 until January 2024. Results: There were no patients who had experienced a recurrence of external rectal prolapse, all patients had smooth recovery postoperatively without complications or any recurrence during the postoperative follow-up period, and all patients had experienced an improvement in their bowel function. Regarding their prolapse history, 11 (55%) patients had bleeding per rectum, four (20%) patients had pain, five (25%) patients had constipation, and two (10%) patients had fecal soiling. The mean prolapse length (cm) was 9.35±1.56 with a range 7–12 cm and all children had complete rectal prolapse (100%). Conclusion: Laparoscopic suture rectopexy is a safe and effective technique for managing complete rectal prolapse, avoiding injury to autonomic nerve supply, lateral ligaments, and pelvic floor muscles support with low recurrence rates and significant improvement in constipation and fecal incontinence. | ||
| Keywords | ||
| Anorectal malformation; bowel function; laparoscopic suture rectopexy; rectal prolapse | ||
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