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[Sclerosing treatment with ethoxysclerol in anal prolapse in children]
Insights
Perianal injection treatment for anorectal prolapse in children offers advantages over surgical cerclage. This minimally invasive approach results in shorter hospital stays and faster healing with few complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Anorectal prolapse is a condition affecting children.
- Traditional treatments like perianal cerclage have drawbacks.
Purpose of the Study:
- To evaluate the efficacy and safety of perianal injection treatment for pediatric anorectal prolapse.
Main Methods:
- A cohort of 31 children with anorectal prolapse received perianal injections of aethoxysklerol.
- Treatment typically involved two injections administered three days apart in a hospital setting.
Main Results:
- Two relapses occurred, both in children older than 6 years.
- A second round of injections was unsuccessful in these cases.
- The injection method demonstrated significant advantages over the previous Thiersch-Ombrédanne procedure.
Conclusions:
- Perianal injection treatment is a simpler, less burdensome alternative to surgical cerclage for anorectal prolapse in children.
- It offers benefits such as shorter hospitalizations and faster recovery.
- Further investigation may be warranted for older children or recurrent cases.
Abstract:
In 1980 we began the perianal injection treatment in children with anorectal prolapse. We can now report on 31 patients. In 1982 we reported on our first experiences with 6 children. We treat the children in hospital and inject aethoxysklerol mostly twice at an interval of three days. On the whole there were two relapses, both children were over 6 years old. A second injection treatment with the same method was again unsuccessful. In relation to the perianal cerclage according to Thiersch-Ombrédanne - the method we used before - the injection treatment gives almost only advantages: Simple technique, shorter hospitalisation, fast healing without burdening the patients, no complications.