World Journal of Laparoscopic Surgery

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VOLUME 7 , ISSUE 2 ( May-August, 2014 ) > List of Articles


Laparoscopic Rectopexy: Is It Useful for Persistent Rectal Prolapse in Children?

Medhat M Ibrahim, Mohammed Abd El Razik, Ahmed M Abdelkader

Citation Information : Ibrahim MM, Razik MA, Abdelkader AM. Laparoscopic Rectopexy: Is It Useful for Persistent Rectal Prolapse in Children?. World J Lap Surg 2014; 7 (2):92-96.

DOI: 10.5005/jp-journals-10033-1223

Published Online: 01-04-2017

Copyright Statement:  Copyright © 2014; The Author(s).


Materials and methods

Fourteen cases of PRP were managed with LRP from February 2008 to August 2012.


Of the 14 children, 10 (71.42%) were males and 4 (28.57%) were females. Male to female ratio was 2:1. The mean age of presentation was 5 years (3-8 years). The presenting complaints were mass descending per rectum along with bleeding per rectum lasting from 1 to 3 years. All had rectal prolapse of 5 to 7 cm in length. Twelve out of 14 children had recurrence even after sclera-therapy before referral to laparoscopic rectopexy. The mean duration of surgery was 30 minutes (20-60 minutes). No intraoperative complications were reported, only one case get constipation and managed conservatively and no recurrence.


LRP is safe, feasible in children and gives satisfactory results after failure of all conservative even sclera-therapy injection.

How to cite this article

Ibrahim MM, Razik MAE, Abdelkader AM. Laparoscopic Rectopexy: is it Useful for Persistent Rectal Prolapse in Children? World J Lap Surg 2014;7(2):92-96.

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  1. Rectal prolapse in pediatrics. Clin Pediatr 1999;38:63-72.
  2. Rectal prolapse in infancy: conservative versus operative treatment. J Pediatr Surg 1986;21:887-888.
  3. Rectal prolapse: 17-year experience with the posterior repair and suspension. J Pediatr Surg 1990;25:992-995.
  4. Polyp associated with rectal prolapse. Gastro intest Endosc 2004;59:871-872.
  5. Disorders of the anus and rectum, anorectal function. In: O'Neill JA, Coran AG, Fonkalsrud E, Grosfeld JL, editors. Pediatric surgery. 6th ed. Philadelphia: Mosby; 2006. p. 1595-1596.
  6. Rectal prolapse. Int J Colorectal Dis 2007;22:231-243.
  7. Rectal prolapse: causation and surgical treatment. Ann Surg 1970;171:819-835.
  8. Rectal prolapse in children. Dis Colon Rectum 1985;28:535-539.
  9. Injection sclerotherapy of rectal prolapse in children with 15% saline solution. Eur J Pediatr Surg 2004;14:100-102.
  10. Surgical management of rectal prolapse. Arch Surg 2005;140:63-73.
  11. Laparoscopic mesh rectopexy for complete rectal prolapsed in children: a new simplified technique. Pediatr Surg Int 2010;26:807-813.
  12. Posterior sagittal anorectoplasty for pediatric recurrent rectal prolapse. J Pediatr Surg 1989;24: 1100-1102.
  13. Injection sclerotherapy in the treatment of rectal prolapse in infants and children. J Pediatr Surg 1998;33:255-258.
  14. Treatment of prolapse rectum in children with injections of sclerosing agents. J Indian Med Assoc 1977;69:275-276.
  15. Outcome of submucosal injection of different sclerosing materials for rectal prolapse in children. Pediatr Surg Int 2004;20:353-356.
  16. Linear cauterization for the treatment of rectal prolapse in infants and children. Surg Gynecol Obstet 1982;154:400-402.
  17. Management of rectal prolapse in children: ekehorn's rectosacropexy. Pediatr Surg Int 1999;15:111-114.
  18. Prolapse and procidentia. In: Shackelford RT, Zuidema GD, editors. Surgery of the alimentary tract. 2nd ed. Philadelphia: Saunders; 1991. p. 331-348.
  19. Sutureless laparoscopic rectopexy for procidentia. Technique and implications. Dis Colon Rectum 1992;35:689-693.
  20. Abdominal approaches for rectal prolapse. Clin Colon Rectal Surg 2008;21:94-99.
  21. Posterior plication of the rectum for rectal prolapse in children. J Pediatr Surg 1995;30:692-693.
  22. The injection treatment of rectal prolapse. J Pediatr Surg 1979;14:62-64.
  23. Laparoscopic suture rectopexy for rectal prolapse in a 22-month-old child. Surg Laparosc Endosc Percutan Tech 2004;14:33-34.
  24. Laparoscopic rectopexy for solitary ulcer of rectum syndrome in a child. Surg Endosc 2003;17:1156-1157.
  25. Fifteen-year experience in the treatment of rectal prolapse in children. J Pediatr Surg 2010;45:1607-1609.
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