Closed rectosacropexy for rectal prolapse in children

Area of Science:

• Pediatric Surgery
• Gastrointestinal Surgery
• Surgical Innovation

Background:

• Persistent rectal prolapse (RP) in children can be a challenging condition.
• Recurrent cases often require effective and minimally invasive treatment options.

Purpose of the Study:

• To describe a novel, simple, and permanent surgical solution for persistent rectal prolapse in pediatric patients.
• To evaluate the efficacy and safety of closed rectosacropexy for treating complete rectal prolapse in children.

Main Methods:

• A surgical technique involving U-shaped sutures passed through posterior stab incisions to the sacral fascia and rectal wall.
• Sutures are tied subcutaneously, creating a closed rectosacropexy.
• The procedure was performed on 42 children with recurrent rectal prolapse.

Main Results:

• Successful treatment of recurrent rectal prolapse in all 42 pediatric patients.
• Mean patient age was 3.5 years, with a follow-up period of 1 to 3 years.
• No recurrence or specific complications were observed post-operatively.

Conclusions:

• Closed rectosacropexy is a simple, minimally invasive, and effective surgical method for treating complete rectal prolapse in children.
• The technique offers a permanent solution with a favorable safety profile.
• This approach addresses the need for reliable treatment in pediatric patients with recurrent rectal prolapse.