scholarly journals Hand-assisted laparoscopic suture rectopexy for complete rectal prolapse complicated by a solitary ulcer and obstructed defecation: a case report and review of the literature

2013 ◽  
Vol 7 (1) ◽  
Author(s):  
Narimantas Evaldas Samalavičius ◽  
Edvinas Kildušis
Keyword(s):  
Case Report ◽  
Rectal Prolapse ◽  
Obstructed Defecation ◽  
Complete Rectal Prolapse ◽  
Review Of The Literature ◽  
Laparoscopic Suture ◽  
Solitary Ulcer ◽  
Suture Rectopexy

scholarly journals Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
AbdelAziz Yehya ◽  
Ibrahim Gamaan ◽  
Mohamed Abdelrazek ◽  
Mohamed Shahin ◽  
Ashraf Seddek ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Operative Time ◽  
Randomized Study ◽  
Complete Rectal Prolapse ◽  
University Hospitals ◽  
Laparoscopic Suture ◽  
Suture Rectopexy ◽  
Group B ◽  
Mesh Rectopexy

Purpose. To compare laparoscopic mesh rectopexy with laparoscopic suture rectopexy. Patients and Methods. The prospective study was conducted at Pediatric Surgery Department, Al-Azhar University Hospitals, Cairo, Egypt between Feb 2010 and Jan 2015. Seventy-eight children with persistent complete rectal prolapse were subjected to laparoscopic rectopexy. Fourteen parents refused to participate. All patients received initial conservative treatment for more than one year. The remaining 64 patients were randomized divided into two equal groups. Group A; 32 patients underwent laparoscopic mesh rectopexy and group B, 32 underwent laparoscopic suture rectopexy. The operative time, recurrence rate, post-operative constipation, and effect on fecal incontinence, were reported and evaluated for each group. Results. Sixty-four cases presented with persistent complete rectal prolapse were the material of this study. They were 40 males and 24 females. Mean age at operation was 8 (5–12) years. All cases were completed laparoscopically. Mean operative time in laparoscopic suture rectopexy was shorter than laparoscopic mesh rectopexy group. No early post-operative complications were encountered. No cases of recurrence with mesh rectopexy group while in suture rectopexy group it was 4 cases (14.2%). Post-operative constipation occurred in one case (3.57%) in suture rectopexy group and occurred in one case (3.3%) in mesh rectopexy group. Fecal incontinence improved in 26/28 cases (92.8%) in suture rectopexy while in mesh rectopexy it was improved in 30/30 cases (100%) of cases. Conclusion. Both laparoscopic mesh and suture rectopexy are feasible and reliable methods for the treatment of complete rectal prolapse in children. However, no recurrence, low incidence of constipation and high improvement of incontinence at follow up more than 36 months with mesh rectopexy accordingly, we considered mesh rectopexy to be the procedure of choice in treatment of complete rectal prolapse.

scholarly journals Complete Rectal Prolapse in Children: Case Report, Review of Literature, and Latest Trends in Management

2018 ◽  
Vol 6 (9) ◽  
pp. 1694-1696 ◽  
Author(s):  
Girish Gulab Meshram ◽  
Neeraj Kaur ◽  
Kanwaljeet Singh Hura
Keyword(s):  
Case Report ◽  
Rectal Prolapse ◽  
Surgical Intervention ◽  
Obstructed Defecation ◽  
Complete Rectal Prolapse ◽  
Review Of Literature ◽  
Fibre Diet ◽  
Stool Softener ◽  
High Fibre

BACKGROUND: Complete rectal prolapse is the circumferential descent of all the layers of the rectum through the anus. It often leads to bleeding, obstructed defecation, incarceration or fecal incontinence. CASE REPORT: We present a rare case of a 4-year-old child with complete rectal prolapse of 12 cm in length. The prolapsed rectum was manually repositioned after reducing the oedema. The precipitating factor was identified as excessive straining while passing stools. A change in position while passing stools was advised along with a high fibre diet and a stool softener. Recurrence was not observed in the 3 month of follow-up. CONCLUSION: Most cases of pediatric rectal prolapse are managed conservatively by addressing the associated and precipitating etiological factors. Surgical intervention may be required for recurrent or persistent cases.

scholarly journals COMPARISON BETWEEN LAPAROSCOPIC SUTURE RECTOPEXY AND ALTEMEIER'S PROCEDURE FOR THE MANAGEMENT OF COMPLETE RECTAL PROLAPSE- A SINGLE CENTER RETROSPECTIVE OBSERVATIONAL STUDY

2017 ◽  
Vol 4 (44) ◽  
pp. 2685-2690 ◽  
Author(s):  
Balakrishna Nanjundappa Setty ◽  
Sushrutha C Suresh ◽  
Sathish Obalanarasimhaiah ◽  
Aravinda Nirmala Kotresh ◽  
Savitha Krishnagouda Karlwad ◽  
...  
Keyword(s):  
Observational Study ◽  
Rectal Prolapse ◽  
Retrospective Observational Study ◽  
Complete Rectal Prolapse ◽  
Single Center ◽  
Laparoscopic Suture ◽  
Suture Rectopexy

scholarly journals Pediatric Rectal Prolapse

2018 ◽  
Vol 31 (02) ◽  
pp. 108-116 ◽  
Author(s):  
Rebecca Rentea ◽  
Shawn St Peter
Keyword(s):  
Early Childhood ◽  
Rectal Prolapse ◽  
Conservative Management ◽  
Recurrence Rates ◽  
Laparoscopic Suture ◽  
Suture Rectopexy ◽  
Infancy And Early Childhood ◽  
Limiting Condition

AbstractRectal prolapse is a common and self-limiting condition in infancy and early childhood. Most cases respond to conservative management. Patients younger than 4 years with an associated condition have a better prognosis. Patients older than 4 years require surgery more often than younger children. Multiple operative and procedural approaches to rectal prolapse exist with variable recurrence rates and without a clearly superior operation. These include sclerotherapy, Thiersch's anal cerclage, Ekehorn's rectopexy, laparoscopic suture rectopexy, and posterior sagittal rectopexy.

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