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

Pandey, Vaibhav; Khanna, Ajay K.; Srivastava, Vivek; Kumar, Rakesh; Panigrahi, Pranay; Sharma, Seema; Upadhayay, Arj D

doi:10.1016/j.jpedsurg.2019.10.049

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…The rectal tissue is sutured to the presacral area to promote adherence. Pandey and collogues discuss a classic approach to a LSR with rectal dissection in the mesorectal plane and use of bilateral non-absorbable suture placement, fixing the rectum to the presacral fascia, as well as a modified technique that only utilized rectopexy on the left side of the rectum, both with recurrence rates under 5% at 3 months ( 48 ). Overall recurrence rates for LSR vary greatly between 0 to 40% ( 3 ).…”

Section: Discussionmentioning

confidence: 99%

Rectal prolapse in the pediatric population—a narrative review of medical and surgical management

Kodia,

Huerta,

Perez

2024

Transl Gastroenterol Hepatol

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Background and Objective Although more frequent in the adult population, rectal prolapse is a common anorectal condition that can occur in children and adolescents. While many cases spontaneously resolve without the need for intervention, the advent of newer minimally invasive procedures and operations have provided options for pediatric patients. Here, we review the pathophysiology, etiology, presentation, diagnosis and principles of management of rectal prolapse in the pediatric population as it has evolved over the past several decades. Methods The literature was queried from free databases available to the public including the National Institute of Health National Library of Medicine MEDLINE and PubMed for manuscripts published from January 1, 1975 to December 1, 2023. Manuscripts without an accompanying English translation or those written entirely in foreign languages were excluded. Key Content and Findings Numerous conditions contribute to rectal prolapse in children, including constipation, gastrointestinal infectious and non-infectious etiologies, cystic fibrosis, malnutrition, neurogenic, anatomic, lead points, and abuse. Initial management of rectal prolapse is medical management, addressing the underlying condition associated with rectal prolapse along with attempted manual reduction. For patients with recurrent rectal prolapse, a variety of noninvasive and procedural management options are available including injection sclerotherapy and anal encirclement in addition to surgical rectopexy by open and newer minimally invasive methods. Conclusions Despite significant advances in the evaluation, procedural and surgical management of pediatric anorectal conditions in the last few decades, there continues to be substantial variation in clinicians’ and surgeons’ practice for the treatment of rectal prolapse in children and adolescents. Much remains to be studied in the future to improve clinical outcomes for this patient population.

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Section: Discussionmentioning

confidence: 99%

Rectal prolapse in the pediatric population—a narrative review of medical and surgical management

Kodia,

Huerta,

Perez

2024

Transl Gastroenterol Hepatol

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“…29 Similar to the promising outcomes for sclerotherapy and cerclage, studies that report their experience with surgical rectopexy have generally demonstrated positive results. 27,32,33 Same-day discharge is also possible with the laparoscopic approach with very favorable outcomes. 34 Although all of the case series are small, these retrospective studies suggest that rectopexy is safe and has low-recurrence rates, ranging from 0 to 5%.…”

Section: Rectopexy Ae Resectionmentioning

confidence: 99%

Surgical Management of Rectal Prolapse in Infants and Children

2020

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The surgical management of children with rectal prolapse is wide ranging and without consensus within the pediatric surgical community. While the majority of rectal prolapse in infants and children resolves spontaneously or with the medical management of constipation, a small but significant subset of patients may require intervention for persistent symptoms. In this review, we discuss the etiology and pathophysiology of rectal prolapse in both infants and children, options for medical management, described interventions and surgical options and their outcomes, and future avenues for research and investigation.

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A case of laparoscopic rectopexy for chronic organic constipation due to insufficient fixation of the rectum to the sacrum in a 14-year-old boy

Kaisyakuji

Ogawa

Etoh

et al. 2022

Journal of Pediatric Surgery Case Reports

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

Cited by 5 publications

References 14 publications

Rectal prolapse in the pediatric population—a narrative review of medical and surgical management

Rectal prolapse in the pediatric population—a narrative review of medical and surgical management

Surgical Management of Rectal Prolapse in Infants and Children

A case of laparoscopic rectopexy for chronic organic constipation due to insufficient fixation of the rectum to the sacrum in a 14-year-old boy

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