Transanal mucosal sleeve resection for the treatment of rectal prolapse in children
| Autor: | Morton M. Woolley, Jordan J. Weitzman, Walter J. Chwals, L.P. Brennan |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Radiography Sweat chloride Anal Canal Postoperative Complications Sleeve resection Intestinal mucosa Methods medicine Humans Intestinal Mucosa Child Barium enema business.industry Suture Techniques Infant Rectal Prolapse General Medicine Anal canal medicine.disease Surgery Rectal prolapse medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Defecation Female business Follow-Up Studies |
| Zdroj: | Journal of Pediatric Surgery. 25:715-718 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/s0022-3468(05)80003-x |
| Popis: | This is a report of a simple transanal operation performed on six patients (age range, 19 months to 18 years), who underwent unsuccessful nonoperative management of complete rectal prolapse for at least 1 month (range, 1 month to 13 years). All patients had normal sweat chloride levels, normal chest radiographs, and normal barium enemas. None of the patients were neurologically compromised. At the time of surgery, all but one patient had occurrence of reducible prolapse with minor straining or with every bowel movement. No severe mucosal ulcerations were present. Surgical therapy consisted of the transanal mucosal sleeve resection described herein. In this series, there were no anastomotic leaks, no clinically evident strictures and no recurrence of prolapse in 1.5- to 19-year follow-up. Surgical therapy for rectal prolapse in infants and children is rarely necessary. Various complicated or ineffective operations for the treatment of this condition have been recommended in the past. This technique offers a simple, safe, and effective method of treating complete, medically intractable rectal prolapse in children. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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