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Related Experiment Video

Updated: Apr 25, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Laparoscopic rectopexy for external prolapse in children.

Jonathan Randall1, Hugh Gallagher1, Bruce Jaffray2

  • 1Department of colorectal surgery, Newcastle Upon Tyne Hospitals, Newcastle, United Kingdom.

Journal of Pediatric Surgery
|August 24, 2014
PubMed
Summary
This summary is machine-generated.

Laparoscopic mesh rectopexy offers a safe and effective treatment for pediatric rectal prolapse, with a trend towards reduced recurrence compared to suture methods. However, a subset of patients may still experience persistent symptoms.

Keywords:
ChildrenLaparoscopicMeshProlapseRectopexy

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Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Colorectal surgery

Background:

  • Rectal prolapse in children often necessitates surgical intervention after conservative management failure.
  • Solitary rectal ulcers are a common comorbidity in pediatric rectal prolapse cases.

Purpose of the Study:

  • To evaluate the outcomes of laparoscopic rectopexy in children with external rectal prolapse.
  • To compare the efficacy of suture versus mesh techniques in pediatric laparoscopic rectopexy.

Main Methods:

  • Prospective data collection from 2006-2013 at a tertiary referral center.
  • Analysis of laparoscopic rectopexy procedures (suture and mesh) in 11 pediatric patients.
  • Outcomes assessed included symptom recurrence, visible prolapse, and need for reoperation.

Main Results:

  • Eighteen procedures were performed; 6 patients had solitary rectal ulcers.
  • Complete resolution occurred in 7 patients, with partial resolution in 1.
  • All suture rectopexy cases failed, necessitating reoperation; 3 patients had persistent prolapse despite multiple procedures. No serious complications were reported.

Conclusions:

  • Laparoscopic mesh rectopexy is a safe procedure for pediatric external rectal prolapse.
  • Mesh rectopexy demonstrated a trend towards lower recurrence rates compared to suture rectopexy.
  • A subset of pediatric patients may not achieve complete resolution with laparoscopic rectopexy.