Management of Rectal Prolapse in Children as a Day Care Procedure

Rectal prolapse is a relatively common self limiting problem in young children. The peak age of prolapse is 2-3 years, a time during which the rectal mucosa is relatively loosely adherent to the underlying muscles, pelvic floor musculature is not fully developed and sacrum is relatively flat which directs increases in intra abdominal pressure towards anus instead of the protected hollow of the pelvi’s1,2. Rectal prolapse is a very common childhood problem in our country due to frequency of diarrhoeal and parasitic diseases accentuated by lack of personal hygiene and mal-nutrition, Majority of the patients are poor; majority of childhood prolapse are mucosal limited to 2-3 cm from anal verge 3. Diagnosis of rectal prolapse is straight forward by inspection and palpation. Colonoscopy and Barium enema are indicated only to exclude any other secondary causes in suspected cases. We have managed 30 (thirty) cases of recurrent rectal prolapse after failure of medical treatment in a prospective study by injection sclerotherapy as a Day care procedure; 5% phenol in olive oil was used as sclerosing agent and the procedure was performed under general anaesthesia and caudal block. The patients were kept under observation for 4-6 hours. 28 (twenty eight) patients responded satisfactorily (93.3%); 2 patients (6.67%) needed open operation -rectopexy. Only one patient was admitted for 48 hours due to reactionary haemorrhage which was managed conservatively. Few patients had minor complications like constipation, diarrhoea and acute retention; all managed conservatively. There was no mortality. Injection sclerotherapy appeared to be a safe, effective and cheap procedure for management of rectal prolapse in children. DOI: 10.3329/jdmc.v17i2.6594J Dhaka Med Coll. 2008; 17(2) : 116-120

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Coblation tonsillectomy: our experience as a day care procedure

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20211566 ◽

2021 ◽

Vol 7 (5) ◽

pp. 764

Author(s):

Kripamoy Nath ◽

Ritu Gupta

Keyword(s):

Blood Loss ◽

Prospective Study ◽

Day Care ◽

Tertiary Care ◽

Operating Time ◽

Tertiary Care Centre ◽

Post Operative Pain ◽

Care Surgery ◽

A Prospective Study ◽

Care Procedure

Background: A prospective study to cite our experience in adult and pediatric patients undergoing coblation tonsillectomy. We emphasised on the intra operative and post operative morbidity in coblation tonsillectomy and its feasibility as a day care procedure.Methods: It is a prospective study done on both paediatric and adult cases presenting to our tertiary care centre between January 2018 to February 2020. Study was done to analyse operating time, intraoperative blood loss, post-operative pain, post-operative haemorrhage and post-operative return to home and normal diet.Results: 114 cases were selected where bilateral tonsillectomy was performed using Coblation technique. 83 were adult patients and 31 paediatric. 56 were females and 58 males. 1 case presented with secondary haemorrhage, none with primary haemorrhage. No other complications were noted.Conclusions: Coblation tonsillectomy yielded good results in reference to patient morbidity and low complication rate. It turned out to be a success as a day care procedure. Short operating time, minimal blood loss, less post-operative pain specially in the early post-operative period, minimal chance of complication and short stay at hospital as a day care surgery, Coblation tonsillectomy stood out as a hands down winner in our study. In this fast paced life, where consumerism demands everything instant, coblation tonsillectomy as a day care procedure provides good alternative to the patient requiring tonsillectomy. yroidectomies.

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MANAGEMENT OF GUD BHRANSHA WITH KASISADI TAIL - A CASE STUDY

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj3809112021 ◽

2021 ◽

Vol 9 (11) ◽

pp. 2877-2879

Author(s):

Prasad Keshav Kakade ◽

Shilpa Badhe

Keyword(s):

Elderly Patient ◽

Clinical Study ◽

Rectal Prolapse ◽

Rural Areas ◽

Anal Verge ◽

Rectal Mucosa ◽

Contraction Effect ◽

Ayurvedic Treatment ◽

Severity Of The Disease

Gud Bhransha is a protrusion of mucous membrane of the Rectum from outside the anal verge with membrane or without membrane. It can be partial or complete. This condition is common in children and elderly patients. There are two types of treatment of rectal prolapse are conservative and surgical. The type of treatment of rectal prolapse depends on the severity of the disease. A clinical study was conducted on the patient of Gudbhransh with an elderly patient disease to evaluate the contraction effect of the Kasisadi tail which is traditionally practised in rural areas of Igatpuri, Maharashtra, India based on a survey. The aim and objective of this study were to evaluate the contraction effect of the Kasisadi tail over prolapsed rectal mucosa. Which was successfully treated by conserva- tive Ayurvedic management Gudbhransh is treated in line with the treatment of Ayurveda as a complication of Atisar by the Kasisadi tail by anal route for correction of prolapse locally. The case result confirms that rectal prolapse can be managed effectively with Ayurvedic treatment in a short duration of time. Keywords: Kasisadi Tail, Gudbhransh, Rectal prolapse, Atisar

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Ureteroscopic lithotripsy as day care procedure: Our early experience in Regional Institute of Medical Sciences

Journal of Medical Society ◽

10.4103/0972-4958.116646 ◽

2013 ◽

Vol 27 (1) ◽

pp. 52 ◽

Cited By ~ 1

Author(s):

Somarendra Khumukcham ◽

Bijit Lodh ◽

SholayMeitei Kangjam ◽

RajendraSingh Sinam ◽

KakuSingh Akoijam ◽

...

Keyword(s):

Day Care ◽

Early Experience ◽

Medical Sciences ◽

Ureteroscopic Lithotripsy ◽

Regional Institute ◽

Care Procedure

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Injection Sclerotherapy with 5% Phenol in Almond Oil in the Treatment of Rectal Prolapse in Children: Our Experience

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v16i1.34980 ◽

2017 ◽

Vol 16 (1) ◽

pp. 19-21

Author(s):

Md Mozammel Hoque ◽

Alauddin Ahmed ◽

Alak Nandy

Keyword(s):

Rectal Prolapse ◽

Injection Site ◽

Effective Treatment ◽

Predisposing Factors ◽

Injection Sclerotherapy ◽

Common Condition ◽

Initial Management ◽

Almond Oil ◽

Sclerosing Agents ◽

Number Of Injections

Background: Rectal prolapse is a relatively common condition in children. A wide variety of sclerosing agents have been used in the treatment of rectal prolapse in children. We have used 5 % phenol in almond oil in the treatment of rectal prolapse in our children. The aim of this study was to find out the outcome of injection sclerotherapy with 5% phenol in almond oil in the treatment of rectal prolapse in children.Methods: From May 2009 to December 2016 a total of 186 patients with rectal prolapse were treated by injection sclerotherapy with 5% phenol in almond oil. Of which males were 112 and females 74. Age ranged from 1.5 years to 7 years. Initial management included assessment and correction of predisposing factors. If the rectal prolapse persisted or if the prolapse required repeated reduction, injection sclerotherapy was performed. Number of injections, recurrences, and complications were reviewed.Results: Out of 186 patients recurrence occurred in 12 patients, cured after second injection in 10 patients and 2 children needs Thiersch’s stitch. Excessive oozing at the injection site was in 5 patients.Conclusion: Injection sclerotherapy with 5% phenol in almond oil is simple, safe and effective treatment of recurrent rectal prolapse after failure to conservative measures.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 19-21

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Injection sclerotherapy of rectal prolapse in children with 15 percent saline solution

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2004.11.060 ◽

2005 ◽

Vol 40 (3) ◽

pp. 603-604

Author(s):

Thomas A. Angerpointner

Keyword(s):

Rectal Prolapse ◽

Saline Solution ◽

Injection Sclerotherapy

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Involvement of Workers in Closed and Semiclosed Institutions in Outbreaks of Acute Gastroenteritis Due to Norovirus

Viruses ◽

10.3390/v12121392 ◽

2020 ◽

Vol 12 (12) ◽

pp. 1392

Author(s):

Ignacio Parrón ◽

Irene Barrabeig ◽

Miquel Alseda ◽

Thais Cornejo-Sánchez ◽

Susana Guix ◽

...

Keyword(s):

Prospective Study ◽

Confidence Intervals ◽

Personal Hygiene ◽

Occupational Category ◽

Hygiene Measures ◽

The Mean ◽

The Difference ◽

Rate Ratios ◽

A Prospective Study ◽

Mean Cycle

Norovirus outbreaks frequently occur in closed or semiclosed institutions. Recent studies in Catalonia and various countries indicate that, during outbreaks in these institutions, norovirus is detected in between 23% and 60% of workers, and the prevalence of infection in asymptomatic workers involved in outbreaks ranges from 17% to 40%. In this work, we carried out a prospective study to investigate the involvement of workers in closed and semiclosed institutions during outbreaks. The attack rates (ARs) and the rate ratios (RRs) were calculated according to the type of transmission and occupational category. The RRs and 95% confidence intervals (CIs) between workers and users were calculated. The mean cycle of quantification (Cq) values were compared according to the genogroup and the presence of symptoms. ARs were higher in person-to-person transmission than in common vehicle outbreaks, and 38.8% of workers were symptomatic. The RR between workers and users was 0.46 (95% CI 0.41–0.52). The ARs in workers were high, particularly in workers with closer contact with users. The mean Cq was lower in patients than in asymptomatic infected persons, although the difference was only significant for genogroup I (GI). The frequency of asymptomatic infected persons suggests that personal hygiene measures should be followed by all workers in the centers affected.

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Case Report of Primary Rectal Melanoma and Review of the Etiology of Melanoma

Journal of Cutaneous Medicine and Surgery ◽

10.2310/7750.2008.06004 ◽

2008 ◽

Vol 12 (3) ◽

pp. 117-120 ◽

Cited By ~ 4

Author(s):

Lauren Fratesi ◽

Raed Alhusayen ◽

James Walker

Keyword(s):

Case Report ◽

Immunohistochemical Staining ◽

Anal Verge ◽

Primary Melanoma ◽

Rectal Mucosa ◽

Sun Exposure ◽

Lower Gastrointestinal Bleeding ◽

Abdominal Discomfort ◽

Virus Infections ◽

Rectal Melanoma

Background: Primary rectal melanoma is a very rare and aggressive malignancy. It is defined as melanoma arising in the rectal mucosa, more than 4 cm from the anal verge. Objective: A case of primary rectal melanoma is reported, and the theories of the etiology of melanoma are reviewed. Methods and Results: This article reports a case of a 75-year-old woman who presented with lower gastrointestinal bleeding and abdominal discomfort. A polyp was removed from the low-lying rectum during colonoscopy. After immunohistochemical staining and microscopic examination, it was diagnosed as melanoma. Conclusion: In light of primary melanoma in sun-shielded regions such as the rectum, theories of causation other than sun exposure merit consideration. Factors such as genetics, immunosuppression, and virus infections, as well as ultraviolet radiation, may play a role in the etiology of melanoma.

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