Laparoscopic Suture Rectopexy for Persistent Rectal Prolapse in Children: Is It a Safe and Effective First-Line Intervention?

2016 ◽  
Vol 26 (4) ◽  
pp. 324-327 ◽  
Author(s):  
Karim Awad ◽  
Mohamed El Debeiky ◽  
Amr AbouZeid ◽  
Ayman Albaghdady ◽  
Tarek Hassan ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
First Line ◽  
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.

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.

Laparoscopic suture rectopexy without resection is effective treatment for full-thickness rectal prolapse

2000 ◽  
Vol 43 (5) ◽  
pp. 638-643 ◽  
Author(s):  
S. M. Heah ◽  
J. E. Hartley ◽  
J. Hurley ◽  
G. S. Duthie ◽  
J. R. T. Monson
Keyword(s):  
Rectal Prolapse ◽  
Effective Treatment ◽  
Full Thickness ◽  
Laparoscopic Suture ◽  
Suture Rectopexy

Simplified Laparoscopic Suture Rectopexy for Idiopathic Rectal Prolapse In Children: Technique and Results

2020 ◽  
Vol 55 (5) ◽  
pp. 972-976
Author(s):  
Vaibhav Pandey ◽  
Ajay K Khanna ◽  
Vivek Srivastava ◽  
Rakesh Kumar ◽  
Pranay panigrahi ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Laparoscopic Suture ◽  
Suture Rectopexy

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
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