Outcomes of Rectopexy of Rectal Prolapse through Anus by Sub Mucosal Injection of 5% Dextrose

Document Type : Research Paper

Authors

1 assistant professor of pediatric surgery,mashhad university of medical science, Mashhad, Iran

2 Associated professor of pediatric surgery,mashhad university of medical science, Mashhad, Iran

3 resident of general surgery, mashhad university of medical science, Mashhad, Iran

4 associated professor of anesthesiology,mashhad university of medical science, Mashhad, Iran

5 assistant professor of anesthesiology,mashhad university of medical science, Mashhad, Iran

Abstract

Introduction
Considering the vast methods of rectal prolapsed, a very common condition in children, either surgical (by abdominal or perineal approach) or non-surgical (sclerozing agents’ injection), the authors evaluated the therapeutic effects of injecting dextrose 50% through perineal rectopexy.
Materials and Methods
All those referred patients with rectal prolaps to Dr. sheikh children hospital were included in this study. All were sub-mucusally injected 5 cc of dextrose 50% solution and the therapeutic results (recurrence and complications) were evaluated.
Results
During this study 46 patients were injected about 5 cc of dextrose 50% solution. All went through the operation without any complications and during a 6 month following up none of the complications such as fistulae, abscess formation, urinary retention, and mucosal necrosis were detected. Nine patients were re-injected due to the prolapsed recurrence however no complications occurred in the second operation. The described procedure is a simple, inexpensive, and repeatable one.
Conclusion
Deflux has been suggested as the best sclorizing agent in articles but it is expensive. Sub-mucusally injection of dextrose 50% is a simple, inexpensive, and repeatable procedure with a 100% positive therapeutic results, therefore could be, suggested as a substitution procedure in treating children’s rectal prolapsed.

Keywords

References

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medical journal of mashhad university of medical sciences
Volume 53, Issue 4 - Serial Number 4
November and December 2010
Pages 234-239

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