The long-term prognosis of two-flap anoplasty for mucosal prolapse following anorectoplasty for anal atresia

Satō, Hideaki; Furuta, Shigeyuki; Kawase, Hirokazu; Aoba, Takeshi; Shima, Hideki; Wakisaka, Munechika; Kitagawa, Hiroaki

doi:10.1007/s00383-012-3129-z

Cited by 11 publications

(3 citation statements)

References 8 publications

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“…Not only is its success rate (94%), higher than what has been described for alternative therapies such as sclerotherapy (77% [11]), mucosal resection (66-75%) [12,13] or rectopexy (30-90% [2,14,15], depending on technique).…”

Section: Discussionmentioning

confidence: 93%

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Mucosal Injection as treatment for rectal prolapse in children with corrected anorectal malformation

Murphy

Märzheuser

2022

Preprint

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BackgroundThe aim of this study was to explore anal mucosal injection of bulking agents as treatment for rectal prolapse in patients with corrected anorectal malformations. To our knowledge, no prior research has been published on this matter.Despite rectal prolapse being a common occurrence, treatment is poorly standardized due to a small number of cases and the pathogenesis of rectal prolapse differing from that in healthy populations, often rendering usual treatments unsuccessful. Materials and MethodsWe used bulking agents usually used in endoscopic treatment of vesicoureteral reflux (Deflux, Vantris) to treat rectal prolapse in children with corrected anorectal malformations. We retrospectively analyzed pre- and intraoperative characteristics and postoperative outcomes. Patients were recruited from our consultancy for patients with anorectal malformations.Results16 children were included. Average operating time was 31 minutes.No intraoperative complications were recorded. Two patients showed minor bleeding, which ceased without further surgical interventions. Three patients developed local erythema/infection, which improved under a short course of antibiotics. Follow up ranged between 6 weeks and 76 months. One patient showed partial recurrence. No further complications were recorded.ConclusionsMucosal injection of bulking agents is a safe, minimally invasive and feasible treatment for rectal prolapse in this patient collective. In the absence of major complications, surgery time and length of hospital stay proved to be short. Further studies with larger samples, long-term follow up and direct comparison with alternative treatments should be conducted to explore this opportunity further and optimize treatment.

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Section: Discussionmentioning

confidence: 93%

“…Sato et al [12] suggest a two-ap anoplasty. In comparison, this technique comes with a signi cantly longer operating time (average 170 minutes), two weeks of total parenteral nutrition and hospital stay, and seems more invasive, with the threat of losing features of the highly specialized anal skin.…”

Section: Discussionmentioning

confidence: 99%

Mucosal Injection as treatment for rectal prolapse in children with corrected anorectal malformation

Murphy

Märzheuser

2022

Preprint

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“…The surgical management of RP following PSARP or LAARP for ARM remains a matter of discussion [ 5 , 9 , 10 ]. While in 2014, RP was stated to occur with a higher incidence after LAARP compared to PSARP [ 11 ], a recent meta-analysis showed that RP occurs with an incidence of 17.7% after LAARP and 12.8% after PSARP with no statistically significant difference between these two groups [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic posterior rectopexy (Well’s procedure) for full-thickness rectal prolapse following laparoscopic repair of an anorectal malformation: A case report

Elhaddad

Amerstorfer

Singer

et al. 2018

International Journal of Surgery Case Reports

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HighlightsLaparoscopic repair of intermediate anorectal malformation (ARM) lead to full-thickness rectal prolapse (RP) in a boy.As conservative treatment modalities failed, the parents opted for surgical treatment at the patient’s age of 4 years.Intractable RP of 2 cm with ulcerations was successfully treated by Well’s laparoscopic posterior mesh-rectopexy.The mid-term outcome was favorable with no prolapse recurrence.Well’s procedure represents a feasible treatment option for RP secondary to ARM repair in children.

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Classification and management of rectal prolapse after anorectoplasty for anorectal malformations

et al. 2014

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The long-term prognosis of two-flap anoplasty for mucosal prolapse following anorectoplasty for anal atresia

Abstract: The advantages of this procedure were no recurrences and complete resolution of preoperative symptoms. Moreover, it provides the possibility of gaining sensate defecation, possibly because the skin flap around the anus might help develop sensation.

Cited by 11 publications

References 8 publications

Mucosal Injection as treatment for rectal prolapse in children with corrected anorectal malformation

Mucosal Injection as treatment for rectal prolapse in children with corrected anorectal malformation

Laparoscopic posterior rectopexy (Well’s procedure) for full-thickness rectal prolapse following laparoscopic repair of an anorectal malformation: A case report

Classification and management of rectal prolapse after anorectoplasty for anorectal malformations

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