Evaluation of laparoscopic suture rectopexy for the treatment of complete rectal prolapse in children.

Document Type : Original Article

Authors

1 Pediatric Surgery Unit, Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt

2 Department 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

The Egyptian Journal of Surgery
Volume 43, Issue 4
October 2024
Pages 1506-1510

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