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Paediatric rectal prolapse in Rwanda

E J Chaloner1, J Duckett, J Lewin

  • 1Royal London Hospital, England.

Journal of the Royal Society of Medicine
|December 1, 1996
PubMed
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In Rwandan refugee children, rectal prolapse linked to diarrhea, malnutrition, and worms was treated with a modified Thiersch wire technique. This method provided effective short-term control for prolapse cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Public Health in Crisis Situations

Background:

  • A high incidence of full-thickness rectal prolapse occurred in Rwandan refugee children during the 1994 crisis.
  • The prolapses were associated with acute diarrheal illness, malnutrition, and worm infestation.

Purpose of the Study:

  • To evaluate the efficacy of a modified Thiersch wire technique for managing rectal prolapse in pediatric refugee populations.
  • To provide immediate intervention for rectal prolapse under challenging humanitarian conditions.

Main Methods:

  • A modified Thiersch wire technique involving a catgut pursestring around the anal margin was applied to 40 children.
  • Procedures were performed under local, regional, or general anesthesia within a refugee camp setting.

Related Experiment Videos

  • The intervention aimed for short-term prolapse control pending correction of underlying health issues.

    • Main Results:

    • The modified Thiersch wire technique effectively controlled full-thickness rectal prolapse in the short term for all 40 patients.
    • No complications were reported during the treatment period.
    • A single case of recurrence was noted, with no formal follow-up possible.

    Conclusions:

    • The modified Thiersch wire technique offers a viable and safe short-term solution for rectal prolapse in pediatric populations facing severe health crises.
    • This surgical approach can stabilize patients, allowing for management of contributing factors like malnutrition and infection.