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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Laparoscopic mesh rectopexy for complete rectal prolapse in children: a new simplified technique
Rafik Shalaby1, Maged Ismail, Mohamad Abdelaziz
1General Surgery Department, Al-Azhar University, Cairo, Egypt. rafikshalaby@hotmail.com
Pediatric Surgery International
|June 10, 2010
Summary
A simplified laparoscopic mesh rectopexy effectively treated persistent rectal prolapse in children. This safe and rapid surgical technique demonstrated no recurrence, minimal pain, and short hospital stays.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Rectal prolapse in children is often self-limiting, but persistent cases require surgical intervention.
- Various laparoscopic techniques exist for managing complete rectal prolapse in pediatric patients.
Purpose of the Study:
- To evaluate a novel, simplified laparoscopic technique for managing persistent complete rectal prolapse in children.
- To assess the efficacy and safety of this simplified laparoscopic mesh rectopexy.
Main Methods:
- A retrospective review of 680 patients with rectal prolapse (2000-2008).
- Fifty-two children with complete rectal prolapse refractory to 2 years of conservative treatment underwent the simplified laparoscopic mesh rectopexy.
Main Results:
- The laparoscopic mesh rectopexy was performed successfully in all 52 patients without intraoperative complications.
- The mean surgery duration was 40 minutes, with a mean postoperative hospitalization of 2 days.
- No recurrence was observed at a median follow-up of 36 months, with one case of manageable postoperative constipation.
Conclusions:
- Simplified laparoscopic mesh rectopexy is a safe, rapid, and effective treatment for persistent complete rectal prolapse in children.
- The technique offers improved functional outcomes, no recurrence, minimal postoperative pain, and short hospital stays.

