Successful treatment of recurrent rectal prolapse using three Thiersch sutures in children
| Autor: | Shailinder Singh, Kashif Chauhan, Richard Wei Chern Gan |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Treatment outcome Rectum Anal Canal Article Suture (anatomy) Recurrence Sclerotherapy Medicine Humans Child Prolene business.industry Suture Techniques General Medicine Rectal Prolapse Anal canal medicine.disease Surgery Rectal prolapse medicine.anatomical_structure Treatment Outcome business |
| Zdroj: | BMJ case reports. 2015 |
| ISSN: | 1757-790X |
| Popis: | Many techniques are described to manage recurrent rectal prolapse in children, including repeated Thiersch stitch, phenol injections, Delorme and Altemeier procedures, and rectopexy. We describe a case of successful treatment of rectal prolapse by placing three Thiersch sutures circumferentially along the anal canal--a simple and novel modification of a well-known procedure. An 8-year-old boy with full-thickness rectal prolapse was treated with laxatives to no avail. He was subsequently treated with phenol-in-almond-oil injection and insertion of a 1/0PDS Thiersch suture. The effects were temporary with recurrence 3 months later. A further phenol-in-almond-oil injection was given and a 1/0PDS Thiersch suture placed, and the patient was discharged on laxatives. Recurrence occurred again at 3 months. This was treated with three circumferential Thiersch sutures along the anal canal--one Prolene 2/0 and two 1/0PDS. There has been no recurrence at follow-up. Placement of three sequential Thiersch sutures along the rectum is effective in treating recurrent rectal prolapse and a good alternative to major rectopexy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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