Laparoscopic rectopexy for external prolapse in children

Randall, Jonathan; Jaffray, Bruce

doi:10.1016/j.jpedsurg.2014.03.009

Cited by 17 publications

(15 citation statements)

References 10 publications

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“…Randall et al [12] stated that less than 10% of rectal prolapse cases require a surgical treatment, while Koivusalo et al declared that the ratio is about 14%.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study

Yehya

Gamaan

Abdelrazek

et al. 2020

Minimally Invasive Surgery

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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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“…Randall et al [12] stated that less than 10% of rectal prolapse cases require a surgical treatment, while Koivusalo et al declared that the ratio is about 14%.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study

Yehya

Gamaan

Abdelrazek

et al. 2020

Minimally Invasive Surgery

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“…The operation is completed as open surgery or laparoscopically. Recurrence of prolapse in children after this procedure is reported to be 0%-54% [8][9][10][11][12][13][14][15], and the reported complications are enterocutaneous fistula [16], anastomotic dehiscence [17], constipation, and sexual dysfunction in men [18][19][20][21]. The last complication has not been reported in children.…”

Section: Discussionmentioning

confidence: 99%

Transanal endorectal approach for the treatment of idiopathic rectal prolapse in children: Experience with the modified Delorme's procedure

Torre

Zornoza-Moreno²,

Cogley

et al. 2019

Journal of Pediatric Surgery

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Background: Persistent or recurrent idiopathic rectal prolapse in children requires surgical intervention. Several techniques have been used to repair this problem. However, recurrence and complications continue to be a challenge in the management of this condition. Here we report our experience in using the modified Delorme's procedure to treat such patients. Methods: We conducted a retrospective observational study of patients with idiopathic rectal prolapse who underwent the modified Delorme's procedure during 2013-2017. We analyzed the clinical characteristics of the patients and the recurrence and complication rates during a follow-up of 15-68 months. Results: We included 14 patients. The age at operation ranged from 2 to 17 years, and the length of the prolapse was 3-15 cm. There were no intraoperative or postoperative complications. All patients achieved postoperative fecal control, and there were no recurrences. Conclusion: The modified Delorme's procedure was effective for the treatment of idiopathic rectal prolapse. There were no recurrences or complications. Because it is a perineal technique, the procedure avoids the risk of nerve injury that exists for transabdominal methods.

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“…Randall et al [2] in their study reported that there was no sex difference (6 females and 5 males), however, Awad et al, [6] Shalaby et al, [7] Potter et al [12] and Puri [15] in their studies reported that male patients outnumbered female ones. The age incidence in our series ranged from 6 months to 9 years with a peak of 1-3 years [ Table 2].…”

Section: Rectal Prolapse Is a Common Condition In Children Andmentioning

confidence: 99%

“…The recurrence rate in Awad et al [6] using suture rectopexy was 1 case in 20 patients (5%). Randall et al [2] reported failure in all of his cases treated by laparoscopic suture rectopexy. The cause of failure in his series may be attributed to the fact that it was conducted on a different cohort of patients who were older (median age at operation was 14 years).…”

mentioning

confidence: 98%

Evaluation of laparoscopic rectosigmoidopexy for the treatment of complete rectal prolapse in children

Mokhtar¹,

Abouheba²,

Shehata³

2017

MIS

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Aim:Rectal prolapse in children is a common condition in infancy and early childhood that usually responds to conservative measures. Surgery is reserved only for resistant cases that fail to respond to conservative measures. This study was designed to evaluate the efficacy of 3-point fixation concept (retrorectal dissection, rectopexy to presacral fascia of the sacral promontory and sigmoidopexy onto the anterior abdominal wall) in treatment of complete rectal prolapse in children using laparoscopy. Methods: This prospective study was conducted on 12 children with persistent complete rectal prolapse who failed to respond to adequate conservative measures from July 2015 to July 2016. The technical details of the procedure are described. Patients were followed up for at least 6 months and were assessed clinically and radiologically for continence and constipation using the appropriate scoring systems. Results: Twelve patients were included, 8 females and 4 males, laparoscopic rectopexy and sigmoidopexy were done for all cases. The mean duration for surgery was 58.42 min. No intraoperative complications recorded. One case (8.3%) had partial thickness recurrence and 1 case had skin stitch sinus. No postoperative constipation nor incontinence was observed. Conclusion:The laparoscopic rectopexy and sigmoidopexy is an effective approach for the treatment of refractory complete rectal prolapse in children. The 3-point fixation proved efficient in controlling rectal prolapse in children with minimal complications. Key words:Laparoscopy, rectopexy, sigmoidopexy, rectal prolapse, children, 3-point fixation ABSTRACTArticle history: Received: 20-12-2016 Accepted: 07-03-2017 Published: 31-03-2017 Prof. Sameh Shehata is working as professor and past chairman of Pediatric Surgery Department, Faculty of Medicine, University of Alexandria, Egypt. He is the past president of the Egyptian Association of Pediatric Surgeons. He has a wide international activity in the field of pediatric surgery; he is the president-elect of the WOFAPS, and the cochairman of the IPEG middle east chapter. He has given over 150 lectures both nationally and internationally and was invited as a guest lecture in many national associations congresses. He is among the editorial board of many national and international pediatric surgery journals including the JPS, PSI and International Journal of Urology.

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Laparoscopic rectopexy for external prolapse in children

Cited by 17 publications

References 10 publications

Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study

Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study

Transanal endorectal approach for the treatment of idiopathic rectal prolapse in children: Experience with the modified Delorme's procedure

Evaluation of laparoscopic rectosigmoidopexy for the treatment of complete rectal prolapse in children

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