Abstract
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.
Highlights
Complete rectal prolapse is defined as the protrusion of all layers of the rectal wall through the anal canal
We propose our concept of laparoscopic rectopexy and sigmoidopexy by 3-point fixation is a new concept for management of complete persistent rectal prolapse
The total number of cases of rectal prolapse presented to the Outpatient Clinic of the Pediatric Surgery Department in El Shatby University Hospital form July 2015 to July
Summary
Complete rectal prolapse is defined as the protrusion of all layers of the rectal wall through the anal canal. If prolapse of the rectal wall occurred but does not protrude through the anus it is called “rectal intussusception” or “occult rectal prolapse”. Complete rectal prolapse should be distinguished from mucosal prolapse, in which mucosal prolapse the only protrusion is the anal mucosa. In children it usually presents as a self-limiting disorder. The peak incidence is between 1 and 3 years of age and it has equal gender distribution.[1,2,3]. Laparoscopy is gaining wide acceptance in the management of rectal prolapse in children.[6,7,11,12]
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