Poster - 21
LAPAROSOCPIC SUTURE RECTOPEXY FOR RECURRENT RECTAL PROLASE IN CHILDREN
Department of Pediatric Surgery, Department of Surgery, Tanta University Hospital, Tanta, Egypt
Introduction: Laparoscopic rectopexy for recurrent rectal prolapse became more widely used nowadays. Strict indications are needed to get the proper outcomes. The advantages rely on the careful dissection of peritoneal sac and fixation of rectum.
Aim: The aim of this presentation is to present our experience of laparoscopic suture rectopexy (LSR) in indicated cases of recurrent rectal prolapse in children.
Patients and Methods: Eleven patients were included with recurrent rectal prolapse where all were subjected to LSR procedure. Dissection of peritoneal sac anterior to the rectum was carried out followed by closure of deep pouch by non-absorbable sutures then fixation of the right side of rectum and sigmoid to the lateral wall of areolar tissue. Fixation to sacral promontory is done by Ethibond or Prolene sutures.
Results: We have 8 girls and 3 boys with age ranged between 3 and 10 years. Seven cases were treated earlier with injection therapy and 4 following Thiersh procedure. Operative time ranged between 40 and 80 minutes. Post-operative mucosal prolapse reported in one case 6 months post surgery.
Conclusions: LSR is efficient technique in well selected cases of recurrent rectal prolapse. Longer follow up and evidence are needed to standardize the technique.