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[Total rectal prolapse in children. Modified Lockhart-Mummery operation].
Presse Medicale (Paris, France : 1983)
|January 31, 1987
Summary
A modified Lockhart Mummery operation using polyglactin mesh in the retrorectal space offers a satisfactory solution for complete rectal prolapse in children. This surgical technique shows promising immediate and long-term results in pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Context:
- Complete rectal prolapse is a challenging condition in pediatric patients.
- The Lockhart Mummery operation is a traditional surgical approach.
- Recurrence and complications can occur with standard procedures.
Purpose:
- To describe a modified Lockhart Mummery operation for pediatric complete rectal prolapse.
- To evaluate the efficacy and safety of incorporating polyglactin mesh in the retrorectal presacral space.
Summary:
- A surgical modification involving polyglactin mesh insertion in the retrorectal presacral space was performed on nine children with complete rectal prolapse.
- All nine patients experienced satisfactory immediate and long-term post-operative outcomes.
- Follow-up extended up to two years, demonstrating the durability of the repair.
Impact:
- This modified technique presents a potentially improved surgical option for pediatric complete rectal prolapse.
- The use of polyglactin mesh may enhance the success rate and reduce recurrence.
- Further studies can validate this approach in a larger pediatric cohort.