Surgical Management of Rectal Prolapse in Infants and Children

Payam Saadai1,2, A Francois Trappey3, Jacob L Langer4

  • 1Department of Pediatric Surgery, UC Davis Children's Hospital, Sacramento, California, United States.

Insights

Pediatric rectal prolapse often resolves spontaneously, but some children require intervention. This review covers causes, medical treatments, and surgical options for persistent pediatric rectal prolapse.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Rectal prolapse in children, particularly infants, frequently resolves without intervention.
  • A subset of pediatric patients experience persistent symptoms requiring medical or surgical management.

Purpose of the Study:

  • To review the etiology, pathophysiology, and management of rectal prolapse in pediatric patients.
  • To discuss current medical and surgical treatment options and their outcomes.
  • To identify areas for future research in pediatric rectal prolapse.

Main Methods:

  • Comprehensive literature review of pediatric rectal prolapse.
  • Analysis of medical and surgical intervention strategies.
  • Evaluation of treatment outcomes and efficacy.

Main Results:

  • While most cases resolve spontaneously or with constipation management, surgical intervention is sometimes necessary.
  • Various surgical techniques exist, but consensus on the optimal approach is lacking.
  • Outcomes vary depending on the chosen intervention and patient factors.

Conclusions:

  • Effective management of pediatric rectal prolapse requires a tailored approach.
  • Further research is needed to establish standardized surgical protocols and improve patient outcomes.

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
336
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
671
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
816
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
358
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
207