TITLE

Sequential Linear Stapling Technique for Perineal Resection of Intractable Pediatric Rectal Prolapse

AUTHOR(S)
Jong In Lee; Vogel, Adam M.; Suchar, Adam M.; Glynn, Loretto; Statter, Mindy B.; Liu, Donald C.
PUB. DATE
December 2006
SOURCE
American Surgeon;Dec2006, Vol. 72 Issue 12, p1212
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Rectal prolapse (RP), although most frequently encountered in the frail elderly, may also occur in children. This condition is most troublesome in the premature infant with significant associated comorbidities. Pediatric RP most often can be managed conservatively with expectant and/or judicious use of laxative-based bowel regimens. In rare instances of intractable RP, surgical intervention ranging from simple (sclerotherapy, Thiersch wire) to complex (perineal or transabdominal bowel resection) becomes necessary. We describe a modification of the Altemeier technique using a novel sequential linear stapling technique to treat intractable RP in a 5.0-kg infant with severe coexisting life-threatening comorbidities. The child had resumption of bowel movements on postoperative Day 1 and has had no recurrences. Sequential linear stapling technique for perineal resection of intractable pediatric RP appears to be a safe and potentially attractive alternative.
ACCESSION #
23474055

 

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