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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
Pediatric Rectal Prolapse
Rebecca M Rentea1, Shawn D St Peter1
1Deparment of Surgery, Children's Mercy Hospital, Kansas City, Missouri.
Insights
Rectal prolapse in children often resolves with conservative treatment. Surgery may be needed for older children or those with complications, but no single surgical approach is clearly superior.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Rectal prolapse is a common condition in infants and young children.
- Most cases are self-limiting and respond well to conservative management.
- Age and associated conditions influence prognosis and treatment approach.
Purpose of the Study:
- To review the management and outcomes of pediatric rectal prolapse.
- To compare the effectiveness of various surgical interventions.
Main Methods:
- Review of existing literature on pediatric rectal prolapse.
- Analysis of patient demographics, treatment modalities, and recurrence rates.
Main Results:
- Conservative management is effective for most young children.
- Children over 4 years old are more likely to require surgery.
- Multiple surgical options exist, including sclerotherapy and various rectopexy techniques.
- Recurrence rates vary among different surgical procedures, with no single operation demonstrating clear superiority.
Conclusions:
- Conservative management should be the first line of treatment for pediatric rectal prolapse.
- Surgical intervention should be tailored to individual patient factors.
- Further research is needed to identify the most effective surgical technique for rectal prolapse in children.
Abstract:
Rectal prolapse is a common and self-limiting condition in infancy and early childhood. Most cases respond to conservative management. Patients younger than 4 years with an associated condition have a better prognosis. Patients older than 4 years require surgery more often than younger children. Multiple operative and procedural approaches to rectal prolapse exist with variable recurrence rates and without a clearly superior operation. These include sclerotherapy, Thiersch's anal cerclage, Ekehorn's rectopexy, laparoscopic suture rectopexy, and posterior sagittal rectopexy.
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