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Rectal prolapse in infants and children.

D B Groff¹, H S Nagaraj

¹Department of Surgery, University of Louisville School of Medicine, Kentucky.

American Journal of Surgery

|November 1, 1990

Summary

A novel surgical technique using subcutaneous anal encirclement with nonabsorbable sutures effectively managed intractable rectal prolapse in 10 patients. This simple, safe procedure offers a recommended initial treatment option for rectal prolapse.

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Area of Science:

Gastroenterology
Colorectal Surgery

Background:

Rectal prolapse is a condition where the rectal lining protrudes through the anus.
Intractable cases often require surgical intervention when medical therapies fail.

Purpose of the Study:

To evaluate the efficacy and safety of subcutaneous anal encirclement using nonabsorbable sutures for managing intractable rectal prolapse.

Main Methods:

A cohort of 10 patients with intractable rectal prolapse underwent a simple subcutaneous encirclement of the anus with a heavy nonabsorbable suture.
The suture remained in place for 4 to 6 months, with subsequent removal or spontaneous breakage.

Main Results:

The procedure successfully managed rectal prolapse in all 10 patients without significant complications.
Four patients required a second suture insertion, and one patient needed a third insertion to maintain efficacy.

Conclusions:

Simple subcutaneous anal encirclement with nonabsorbable sutures is a safe and effective initial surgical treatment for intractable rectal prolapse.
The technique is minimally invasive and associated with few complications, making it a recommended option.

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