TITLE:
Laparoscopic Rectopexy; Is It Useful for Persistent Rectal Prolapse in Children?
AUTHORS:
Medhat M. Ibrahim, Mohammed Abd El Razik, Ahmed M. Abdelkader
KEYWORDS:
Rectal Prolapse; Laparoscopy; Rectopexy
JOURNAL NAME:
Surgical Science,
Vol.5 No.3,
March
26,
2014
ABSTRACT:
Introduction: Rectal prolapse is a relatively
common, usually self-limiting illness in children. Peak incidence is between 1
and 3 years. The intervention is required for the persistent rectal prolapse
(PRP). Only scanty experience is available with laparoscopic rectopexy in
children. There is no available
work using both mesh and suture laparoscopic rectopexy in literature. This work
is unique that it presents our clinical experience with both mesh and suture
laparoscopic rectopexy in children. This is a prospective
clinical study for the outcome of laparoscopic rectopexy (LRP) by both mesh and
suture technique in children with persistent rectal prolapse (PRP). Materials
and Methods: Fourteen cases of PRP were managed with LRP from February 2008 to
August 2012. Results: Of the 14 children, 10 (71.42%) were males and 4 (28.57%)
were females. Male to female ratio was 2:1. The
mean age of presentation was 5 years (range 3 - 8 years). The presenting
complaints were mass descending per rectum along with bleeding per rectum
lasting from 1 to 3 years. All had rectal prolapse of 5 - 7 cm in length. 12
out of 14 children had recurrence
even after sclerotherapy before referral to laparoscopic rectpexy. The mean
duration of surgery was 30 minutes (range 20 - 60 minutes). No intraoperative
complications were reported; only
one case got constipation and was managed conservatively and no
recurrence. Conclusion: LRP is safe, feasible in children and gives
satisfactory results after failure of all conservative even sclerotherapy injection.