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

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.

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Laparoscopic Suture Rectopexy: An Effective Treatment for Complete Rectal Prolapse

Medical Journal Armed Forces India ◽

10.1016/s0377-1237(10)80119-4 ◽

2010 ◽

Vol 66 (2) ◽

pp. 108-112 ◽

Cited By ~ 1

Author(s):

R Chaudhry vsm

Keyword(s):

Rectal Prolapse ◽

Effective Treatment ◽

Complete Rectal Prolapse ◽

Laparoscopic Suture ◽

Suture Rectopexy

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Clinical Features and Outcomes of Parkinson's Disease with Coronavirus Disease 2019 (COVID-19) in Wuhan: A Single Center, Retrospective, Observational Study

SSRN Electronic Journal ◽

10.2139/ssrn.3605280 ◽

2020 ◽

Author(s):

Heng Zhai ◽

Yinzhang Lv ◽

Yu Xu ◽

Yi Wu ◽

Weiqi Zeng ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Observational Study ◽

Clinical Features ◽

Retrospective Observational Study ◽

Single Center

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Incidence of postsurgical pulmonary embolism and deep venous thrombosis: a single-center retrospective observational study

JA Clinical Reports ◽

10.1186/s40981-020-00328-5 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Hitomi Otsuka ◽

Makoto Izumi ◽

Eriko Ota ◽

Noriaki Mochizuki

Keyword(s):

Pulmonary Embolism ◽

Observational Study ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Retrospective Observational Study ◽

Single Center

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Percutaneous Vertebroplasty Combined with Percutaneous Pediculoplasty for Lytic Vertebral Body and Pedicle Lesions of Metastatic Tumors

January 2018 - Pain Physician ◽

10.36076/ppj.2015/18/e347 ◽

2015 ◽

Vol 3;18 (3;5) ◽

pp. E347-E353

Author(s):

Zhong-Liang Deng

Keyword(s):

Observational Study ◽

Vertebral Body ◽

Percutaneous Vertebroplasty ◽

Management Practice ◽

Medical Center ◽

Therapeutic Option ◽

Retrospective Observational Study ◽

Symptom Duration ◽

Single Center ◽

Metastatic Tumors

Background: Percutaneous pediculoplasty (PP) consists of the injection of Poly(methyl methacrylate) (PMMA) into the fractured pedicle or lytic vertebral pedicle lesions, as a technique derived from vertebroplasty. Objectives: To evaluate the short-term analgesic effect of percutaneous vertebroplasty (PV) and percutaneous pediculoplasty (PP) in patients with lytic vertebral body and pedicle lesions of metastatic tumors. Study Design: Single-center retrospective observational study. Setting: An interventional pain management practice, a medical center, major metropolitan city, China. Methods: Single-center retrospective observational study of all patients managed with PV and PP for painful vertebral body and pedicle metastatic tumors between 2007 and 2013. For each patient, symptom duration and pain intensity were recorded. PP was performed under local analgesia, in the prone position, with C-arm fluoroscopy guidance. The mixture of PMMA and Doxorubicin was delivered into the vertebral body with a non-beveled needle for the initial treatment followed by the mixture delivery into the lytic pedicle during needle withdrawal. Results: Nine patients (5 women, 4 men) were enrolled in the study with a mean age of 65.9 years (range 57 – 75). Technical success was defined as the ability to access the lesion using the approach. A positive clinical response for pain relief was achieved in these patients in whom vertebroplasty and pediculoplasty had been performed. Pain level was not significantly reduced in 3 patients in whom just vertebroplasty has been performed because the medial wall of the pedicle was destroyed by the metastatic lesion. Limitations: This study is limited by its sample size. Conclusions: PV and PP via the transpedicular approach for infiltrated vertebral bodies and infiltrated pedicles of metastatic tumors may be considered a valid therapeutic option. Key words: Percutaneous pediculoplasty, percutaneous vertebroplasty, lytic pedicular lesions, bone cement

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Pediatric Rectal Prolapse

Clinics in Colon and Rectal Surgery ◽

10.1055/s-0037-1609025 ◽

2018 ◽

Vol 31 (02) ◽

pp. 108-116 ◽

Cited By ~ 10

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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